Whalio Doctors

NPI 1760424659

Jim Bain's Compounding Pharmacy

Organisation Pharmacy Technician Tupelo, MS

Practice location

Address
367 N Gloster St, Tupelo, MS 38804-3633
Phone
(662) 844-4530
Fax
(662) 844-4537
Mailing address
PO Box 7241, Tupelo, MS 38802-7241

Authorised official

Name
Jim Bain
Title
Owner/Pharamist
Phone
(662) 844-4530

Registered specialties

Pharmacy Technician Primary
Pharmacy Service Providers Taxonomy 183700000X Licence 2101-1513-3453-350 (MS)

Registry record

NPI
1760424659
Entity type
Organization
NPI issued
12 Jun 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.