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Ms State Dept of Health — NPI 1376606582, Jackson, MS | NPI Central

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NPI 1376606582

OrganizationActive

Ms State Dept of Health

NPI 1376606582 · Long Term Care Pharmacy · Jackson, MS

Provider details

NPI number: 1376606582
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Organization subpart: No
Authorized official: Julia Woods, Pharmacist(601) 713-3457
License: 01085 05.1 (MS)

Specialties & taxonomies

Long Term Care PharmacyPrimary3336L0003X
Suppliers
Public Health or Welfare Agency251K00000XLicense 01085 05.1 (MS)
Agencies
Clinic Pharmacy3336C0002XLicense 0108505.1 (MS)
Suppliers

Practice location

3156 Lawson Street

Jackson, MS 39213

Phone: (601) 713-3457

Fax: (601) 364-2670

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

3156 Lawson Street

Jackson, MS 39213

Registry dates

Enumerated: 2006-12-18
Last updated: 2024-10-22
Certified: 2024-10-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.