Midsouth Medical Specialties, LLC

NPI #1255677001 in Hernando, Mississippi

Provider Information

NPI Number
1255677001
Entity Type
Organization
Organization Name
Midsouth Medical Specialties, LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Dec 26, 2012
Last Updated
Dec 26, 2012

Practice Location

Address
2260 HIGHWAY 515 SOUTH
ZIP Code
38632
Phone
(662) 449-9075

Authorized Official

Name
MR. EDDIE O'BANNON
Title
OWNER
Phone
(662) 449-9075

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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