Healthcare Provider Details

I. General information

NPI: 1679604938
Provider Name (Legal Business Name): MARGARET BIDDLE PITCOCK PHARM.D., BCPS, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 08/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 E WOODROW WILSON AVE DEPARTMENT OF PHARMACY (119)
JACKSON MS
39216-5116
US

IV. Provider business mailing address

1500 E WOODROW WILSON AVE DEPARTMENT OF PHARMACY (119)
JACKSON MS
39216-5116
US

V. Phone/Fax

Practice location:
  • Phone: 601-364-1555
  • Fax: 601-364-1578
Mailing address:
  • Phone: 601-364-1555
  • Fax: 601-364-1578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberE-09354
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: