Northeast Mental Health-Mental Retardation Commission
NPI #1427489517 in Tupelo, Mississippi
Provider Information
- NPI Number
- 1427489517
- Entity Type
- Organization
- Organization Name
- Northeast Mental Health-Mental Retardation Commission
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 27, 2013
- Last Updated
- Apr 19, 2017
Practice Location
- Address
- 499 GLOSTER CREEK VLG STE A3
- City
- Tupelo
- State
- Mississippi
- ZIP Code
- 38801-4600
- Phone
- (662) 912-5006
Authorized Official
- Name
- VAN WATSON, BS PHARMACY
- Title
- DIRECTOR OF PHARMACY
- Phone
- (662) 912-5006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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