National Provider Identifier Database

SPORTS MEDICINE PHARMACY LLC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

SPORTS MEDICINE PHARMACY LLC
4506 LAKELAND DR
FLOWOOD, MS39232-9583
Phone: 601-949-9105
Fax: 601-351-5974
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X
Specialty Pharmacy 3336S0011X

* Indicates primary specialty

NPI Profile & details for SPORTS MEDICINE PHARMACY LLC

NPI Number 1912452921
Legal business name
LBN
SPORTS MEDICINE PHARMACY LLC
Authorized official CHRISTOPHER MCLAURIN - (DIRECTOR OF PHARMACY SERVICES)
Entity Organization
Organization subpart No
Enumeration date 08/19/2016
Last updated 10/23/2025 - About 7 months ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 14908
  • MS Medicaid: 06600515
  • Other: 2162491 PK

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.

Reviews for SPORTS MEDICINE PHARMACY LLC

There are currently no reviews for SPORTS MEDICINE PHARMACY LLC


NPIdb - Home
v2.201