Midsouth Medical Specialties, LLC
NPI #1992139711 in Hernando, Mississippi
Provider Information
- NPI Number
- 1992139711
- Entity Type
- Organization
- Organization Name
- Midsouth Medical Specialties, LLC
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Aug 28, 2013
- Last Updated
- Aug 28, 2013
Practice Location
- Address
- 185 W CENTER ST
- City
- Hernando
- State
- Mississippi
- ZIP Code
- 38632-2268
- Phone
- (901) 262-4317
Authorized Official
- Name
- EDDIE D O'BANNON, PHARM D
- Title
- OWNER
- Phone
- (901) 262-4317
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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