NPI 1043304033

Medi Mart Pharmacies of Mississippi, INC.

Organisation Community/Retail Pharmacy Moss Point, MS

Practice location

Address: 3737 Main St, Moss Point, MS 39563-5107
Phone: (228) 474-1011
Fax: (228) 474-1033

Authorised official

Name: Clarence E. Dubose
Title: President
Phone: (228) 474-1011

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 01148/01.1 (MS)

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Registry record

NPI: 1043304033
Entity type: Organization
NPI issued: 3 Oct 2006
Record last updated: 22 Aug 2020

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.