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

Magnolia Specialty Pharmacy Inc

Organization Community/Retail Pharmacy · NPI 1720368541

Magnolia Specialty Pharmacy Inc is a Community/Retail Pharmacy in Hattiesburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2011.

Licensed in
MS
In the registry since
2011
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16 Keystone Dr Ste B
Hattiesburg, MS 39402-6121
Phone: (877) 871-3935
Fax: (888) 990-0575
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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 09087 (MS)
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1720368541
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Parker — President/Owner · (601) 606-0252
Other names Magnolia Specialty Pharmacy Inc.
NPI enumeratedAugust 24, 2011
Last updated in NPPESApril 11, 2017
Mailing address16 Keystone Dr Ste B, Hattiesburg, MS 39402-6121

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