University Pavilion Pharmacy
NPI #1417090093 in Jackson, Mississippi
Provider Information
- NPI Number
- 1417090093
- Entity Type
- Organization
- Organization Name
- University Pavilion Pharmacy
- Primary Specialty
- Pharmacy - Clinic Pharmacy
- Enumeration Date
- Feb 14, 2007
- Last Updated
- Sep 7, 2007
Practice Location
- Address
- 1410 E WOODROW WILSON DR
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216
- Phone
- (601) 984-2058
Authorized Official
- Name
- MRS. SUSAN HARTNESS COBB, R.PH.
- Title
- PHARMACY SUPERVISOR
- Phone
- (601) 984-2058
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
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