Healthcare Provider Details

I. General information

NPI: 1407740798
Provider Name (Legal Business Name): ONE PHARMA RX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3224 DIJON AVE
OCEAN SPRINGS MS
39564-8520
US

IV. Provider business mailing address

3224 DIJON AVE
OCEAN SPRINGS MS
39564-8520
US

V. Phone/Fax

Practice location:
  • Phone: 228-363-0500
  • Fax: 800-898-9520
Mailing address:
  • Phone: 228-363-0500
  • Fax: 800-898-9520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: MS. TAMMY NERON
Title or Position: CEO
Credential:
Phone: 228-363-0500