MEDICARE: OXFORD RX

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1043861768
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OXFORD RX

Provider Business Mailing Address
First Line	:	212 SAINT ANDREWS CIR
Second Line	:
City	:	OXFORD
State	:	MS
Zip	:	38655-2520
Country	:	US
Telephone Number	:	662-607-8794
Fax Number	:

Provider Business Practice Location Address
First Line	:	821 N LAMAR BLVD
Second Line	:
City	:	OXFORD
State	:	MS
Zip	:	38655-2841
Country	:	US
Telephone Number	:	662-380-5300
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHARMACIST
Name	:	MARY JOHN WHITE
Credential	:
Telephone Number	:	662-380-5300

Provider Enumeration Date	:	09/24/2019
Last Update Date	:	11/22/2022

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Directions to “OXFORD RX ” Practice Location

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