Medi Mart Pharmacies of Mississippi, Inc.
NPI #1043304033 in Moss Point, Mississippi
Provider Information
- NPI Number
- 1043304033
- Entity Type
- Organization
- Organization Name
- Medi Mart Pharmacies of Mississippi, Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 3, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3737 MAIN ST
- City
- Moss Point
- State
- Mississippi
- ZIP Code
- 39563-5107
- Phone
- (228) 474-1011
Authorized Official
- Name
- MR. CLARENCE E. DUBOSE SR., R.PH.
- Title
- PRESIDENT
- Phone
- (228) 474-1011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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