OrganizationActive
Pharmacy Group of Mississippi, LLC
NPI 1699182444 · Long Term Care Pharmacy · Madison, MS
Provider details
- NPI number
- 1699182444
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ronnie Cannon, Executive Director(601) 499-2460
Specialties & taxonomies
Suppliers
Practice location
136 Enterprise Dr
Madison, MS 39110-8701
Phone: (601) 499-2460
Fax: (601) 499-2461
Approximate (ZIP-level) locationGet directions
Mailing address
136 Enterprise Dr
Madison, MS 39110-8701
Other names (DBA / former)
- Doing business as
- Pharmacy Partners of Mississippi
Registry dates
- Enumerated
- 2014-07-14
- Last updated
- 2025-04-24
- Certified
- 2025-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.