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General NPI Number Information
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NPI Number | 1578575379
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Entity Type | Organization
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Legal Business Name | PHARMACY PLUS INFUSION SERVICES OF HATTIESBURG, INC.
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 08/19/2021
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Provider Practice Location Address
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Address Line | 163 TURTLE CREEK DR STE 130
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City | HATTIESBURG
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State | MS
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Zip | 39402-1268
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Country | US
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Telephone | 601-261-0503
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Fax |
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Provider Business Mailing Address
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Address Line | 163 TURTLE CREEK DR STE 130
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City | HATTIESBURG
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State | MS
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Zip | 39402-1268
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Country | US
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Telephone | 601-602-2238
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Fax | 601-475-7840
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MISSY JAMES
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Credential | PT, CPHT
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Telephone | 601-261-0503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 04427/02.0
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 04427/02.0
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 04427/02.0
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 04427/02.0
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License Number State | MS
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Taxonomy #5
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 04427/02.0
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License Number State | MS
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Taxonomy #6
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | 04427/02.0
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License Number State | MS
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Taxonomy #7
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 04427/02.0
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License Number State | MS
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Taxonomy #8
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 04427/02.0
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License Number State | MS
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