Healthcare Provider Details
I. General information
NPI: 1740279819
Provider Name (Legal Business Name): TRANSCRIPT PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/20/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2506 LAKELAND DR SUITE 201
FLOWOOD MS
39232-7640
US
IV. Provider business mailing address
2506 LAKELAND DR SUITE 201
FLOWOOD MS
39232-7640
US
V. Phone/Fax
- Phone: 601-420-4041
- Fax: 601-420-4040
- Phone: 601-420-4041
- Fax: 601-420-4040
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | 05693/02.6 |
| License Number State | MS |
VIII. Authorized Official
Name: MR.
CLIFTON
OSBON
Title or Position: VICE PRESIDENT
Credential: R.PH.
Phone: 601-420-4041