Healthcare Provider Details

I. General information

NPI: 1659579951
Provider Name (Legal Business Name): LAURIE E WARRINGTON PHARM. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 N STATE ST
JACKSON MS
39216-4500
US

IV. Provider business mailing address

1009 CARLTON PARK DR
FLOWOOD MS
39232-5533
US

V. Phone/Fax

Practice location:
  • Phone: 601-984-2055
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberE-010205
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: