OrganizationActive
University Pavilion Pharmacy
NPI 1417090093 · Clinic Pharmacy · Jackson, MS
Provider details
- NPI number
- 1417090093
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Susan Cobb, Pharmacy Supervisor(601) 984-2058
- License
- 02188 (MS)
Specialties & taxonomies
Suppliers
Practice location
1410 E Woodrow Wilson Dr
Jackson, MS 39216
Phone: (601) 984-2058
Fax: (601) 984-2063
Approximate (ZIP-level) locationGet directions
Mailing address
1410 E Woodrow Wilson Dr
Jackson, MS 39216
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2007-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.