NPI 1013167824

Pharmedium Services LLC

Organisation Compounding Pharmacy Cleveland, MS

Practice location

Address: 913 N Davis Ave, Cleveland, MS 38732-2106
Phone: (662) 846-5969
Fax: (662) 864-2614

Authorised official

Name: Gary Griffin
Title: Rph in Charge
Phone: (662) 846-5969

Registered specialties

Compounding Pharmacy Primary

Suppliers Taxonomy 3336C0004X Licence 05336/02.0 (MS)

Other Pharmacy providers in Mississippi →

Registry record

NPI: 1013167824
Entity type: Organization
NPI issued: 29 Sep 2008
Record last updated: 22 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.