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Contact Information

HUDSON PHARMACY, INC.
1635 COLUMBIA AVE
PRENTISS, MS39474
 Phone: 601-792-4467
 Fax: 601-792-8191
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HUDSON PHARMACY, INC.

NPI Number 1578678827
LBN Legal business name HUDSON PHARMACY, INC.
Authorized official JOSEPH WAITS - (PHARMACY AND STORE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/20/2006
Last updated 07/30/2025 - About 10 months ago
Identifiers
MS License # 00133
MS Medicaid 00032522
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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