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

7731 OLD CANTON RD STE B
MADISON, MS 39110-6115

Phone: 601-499-0935
Fax: 601-499-0936
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

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NPI Profile & details for MISSISSIPPI CENTER FOR ADVANCED MEDICINE PC

NPI # 1740636786

LBN Legal business name MISSISSIPPI CENTER FOR ADVANCED MEDICINE PC

Authorized official SPENCER SULLIVAN - (PRESIDENT AND CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/09/2016

Last updated 10/05/2016 - About 10 years ago

Identifiers

MS	License #	14837/1.1
MS	Medicaid	09587750
	Other	2160699	PK

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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MISSISSIPPI CENTER FOR ADVANCED MEDICINE PC

Contact Information

Specialty

Community/Retail Pharmacy

Clinic Pharmacy

Pharmacy

NPI Profile & details for MISSISSIPPI CENTER FOR ADVANCED MEDICINE PC

Reviews for MISSISSIPPI CENTER FOR ADVANCED MEDICINE PC