Pharmacy Group of Mississippi, LLC
NPI #1699182444 in Madison, Mississippi
Provider Information
- NPI Number
- 1699182444
- Entity Type
- Organization
- Organization Name
- Pharmacy Group of Mississippi, LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Jul 14, 2014
- Last Updated
- Apr 24, 2025
Practice Location
- Address
- 136 ENTERPRISE DR
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-8701
- Phone
- (601) 499-2460
Authorized Official
- Name
- MR. RONNIE JAMES CANNON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (601) 499-2460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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