National Provider Identifier Database

MS STATE DEPT OF HEALTH
Long Term Care Pharmacy

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.


Contact Information

MS STATE DEPT OF HEALTH
3156 LAWSON STREET
JACKSON, MS39213
Phone: 601-713-3457
Fax: 601-364-2670
Website:
Specialty Taxonomy Code
* Long Term Care Pharmacy 3336L0003X
Clinic Pharmacy 3336C0002X
Public Health or Welfare 251K00000X

* Indicates primary specialty

NPI Profile & details for MS STATE DEPT OF HEALTH

NPI Number 1376606582
Legal business name
LBN
MS STATE DEPT OF HEALTH
Authorized official JULIA WOODS - (PHARMACIST)
Entity Organization
Organization subpart No
Enumeration date 12/18/2006
Last updated 10/22/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 01085 05.1
  • MS License #: 0108505.1
  • Other: 2517196 NCPDP

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.

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