Mississippi Cvs Pharmacy LLC
Pharmacy in Hattiesburg, MS. Organization (NPI-2).
NPI number1366735185
StatusActive
Last updated in NPPESDec 22, 2011
Details
- NPI
- 1366735185
- Entity type
- Organization (NPI-2)
- Legal business name
- Mississippi Cvs Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- May 26, 2011
- Last updated
- Dec 22, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Cvs Pharmacy #03124 (Doing Business As)
Practice location
2507 Hardy StHattiesburg, MS 39401-5914
Phone 601-544-2545
Mailing address
1 Cvs DrBox 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500
Authorized official
Susan Colbert
Director, Payer Relations
4017702751
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All 11 Pharmacy providers in Hattiesburg · All 3,372 providers in Hattiesburg
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