University of Southern Mississippi
NPI #1750402798 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1750402798
- Entity Type
- Organization
- Organization Name
- University of Southern Mississippi
- Primary Specialty
- Pharmacy - Clinic Pharmacy
- Enumeration Date
- Apr 3, 2007
- Last Updated
- Jul 14, 2010
Practice Location
- Address
- 118 COLLEGE DR
- Address 2
- STE 5066
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39406-0002
- Phone
- (601) 266-4075
Authorized Official
- Name
- CELESTE TISDALE, RPH
- Title
- PHCY MNGR
- Phone
- (601) 266-4075
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
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