NPI 1457505315

Ms State Dept of Health Pharmacy

Organisation Public Health or Welfare Agency Jackson, MS

Practice location

Address: 3156 Lawson St, Jackson, MS 39213-5754
Phone: (601) 713-3457
Fax: (601) 364-2670

Authorised official

Name: Travis L Reeves
Title: Asst Director
Phone: (601) 713-3457

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X Licence 01085 05.1 (MS)

Other Public Health or Welfare providers in Mississippi →

Registry record

NPI: 1457505315
Entity type: Organization
NPI issued: 5 Nov 2008
Record last updated: 5 Nov 2008

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.