Healthcare Provider Details

I. General information

NPI: 1316472384
Provider Name (Legal Business Name): V3 HEALTHCARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2017
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2260 HIGHWAY 51 S
HERNANDO MS
38632-1737
US

IV. Provider business mailing address

2260 HIGHWAY 51 S
HERNANDO MS
38632-1737
US

V. Phone/Fax

Practice location:
  • Phone: 662-469-9055
  • Fax:
Mailing address:
  • Phone: 662-469-9055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number15756
License Number StateMS

VIII. Authorized Official

Name: LEIGH SMITH
Title or Position: OWNER
Credential:
Phone: 662-469-9055