SOUTHERN PHARMACY CLINICAL MANAGEMENT; NPI #1295268985

Contact Information

SOUTHERN PHARMACY CLINICAL MANAGEMENT

3224 DIJON AVE
OCEAN SPRINGS, MS 39564-8520

Phone: 228-363-0500
Fax: 800-651-3566
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for SOUTHERN PHARMACY CLINICAL MANAGEMENT

NPI # 1295268985

LBN Legal business name SOUTHERN PHARMACY CLINICAL MANAGEMENT

Authorized official TAMMY NERON - (PARTNER CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/10/2017

Last updated 04/10/2017 - About 9 years ago

Identifiers

Other

1112650

STATE MS BUSINESS ID

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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