Organization · NPI-2
Advantage Apothecary, Llcf
Pharmacy, Specialty Pharmacy · Hattiesburg, MS
NPI number1477968980
StatusActive
Last updated in NPPESJun 23, 2014
Details
- NPI
- 1477968980
- Entity type
- Organization (NPI-2)
- Legal business name
- Advantage Apothecary, Llcf
- Organization subpart
- No
- Enumeration date
- Jun 23, 2014
- Last updated
- Jun 23, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336S0011X | Pharmacy, Specialty Pharmacy | 13438/2.2 | MS | Yes |
| 3336C0004X | Pharmacy, Compounding Pharmacy | 13438/2.2 | MS |
Practice location
5296 Old Highway 11 Ste 4Hattiesburg, MS 39402-8380
Phone 601-450-0294 · Fax 601-450-0295
Mailing address
5296 Old Highway 11 Ste 4Hattiesburg, MS 39402-8380
Phone 601-450-0294 · Fax 601-450-0295
Authorized official
William C. Pierce
Pic
6014500294
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