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NPI 1437286010 · Specialty Pharmacy · Clinton, MS
Provider details
- NPI number
- 1437286010
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Authorized official
- Wesley Miley, Corp Pres
Practice location
136 E Northside Dr
Clinton, MS 39056-3440
Phone: (601) 925-8005
Fax: (601) 924-9127
Mailing address
Po Box 1395
Clinton, MS 39060-1395
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2016-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.