National Provider Identifier Database

PRIME URGENT MEDICAL CLINIC
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

PRIME URGENT MEDICAL CLINIC
176 GOODMAN RD W
SOUTHAVEN, MS38671-9405
Phone: 662-510-6981
Fax: 662-510-6987
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for PRIME URGENT MEDICAL CLINIC

NPI Number 1891171351
Legal business name
LBN
PRIME URGENT MEDICAL CLINIC
Authorized official CLARK LEVI - (MEMBER)
Entity Organization
Organization subpart No
Enumeration date 08/07/2015
Last updated 05/10/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 14440
  • Other: 2153376 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PRIME URGENT MEDICAL CLINIC

There are currently no reviews for PRIME URGENT MEDICAL CLINIC


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