Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Hattiesburg Clinic PA

Organization Pharmacy · NPI 1407861016

Hattiesburg Clinic PA is a Pharmacy in Hattiesburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Partly verified

Some contact details are missing from the federal record.

Medical Blvd Ste 2
Hattiesburg, MS 39401
Phone: (601) 268-5740
Fax: (601) 268-5858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 01821/1.1 (MS)
Pharmacy Taxonomy 333600000X
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1407861016
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Ashley — Phcy Dir · (601) 268-2740
Other names Owl Drug Store
NPI enumeratedJuly 30, 2006
Last updated in NPPESFebruary 21, 2017
Mailing addressMedical Blvd, Ste 2, Hattiesburg, MS 39401

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