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MISSISSIPPI CENTER FOR ADVANCED MEDICINE, PC

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

MISSISSIPPI CENTER FOR ADVANCED MEDICINE, PC
2053 GAUSE BLVD E STE 200
SLIDELL, LA  70461-5451
 Phone: 985-259-8045
 Fax: 601-499-0311
 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 MISSISSIPPI CENTER FOR ADVANCED MEDICINE, PC

NPI Number 1548720527
LBN Legal business name MISSISSIPPI CENTER FOR ADVANCED MEDICINE, PC
Authorized official SPENCER SULLIVAN - (CEO/OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/25/2019
Last updated 09/25/2019 - About 7 years ago
Identifiers n/a
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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