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Contact Information

PHARMACY MANAGEMENT GROUP
200 HOSPITAL RD
BLDG 3 PROFESSIONAL PLAZA
STARKVILLE, MS39759
 Phone: 662-323-0885
 Fax: 662-323-7298
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PHARMACY MANAGEMENT GROUP

NPI # 1174568240
LBN Legal business name PHARMACY MANAGEMENT GROUP
Authorized official RON HARRIS - (CEO MANG MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/20/2006
Last updated 10/19/2007 - About 19 years ago
Identifiers
MS License # 07472
MS Medicaid 00330538
Other 2520131 OTHER ID NUMBER
Other 2520131 OTHER ID NUMBER-COMMERCIAL NUMBER
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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