Region 12 Commission on Mental Health & Retardation Pine
Region 12 Commission on Mental Health & Retardation Pine is a Pharmacy in Hattiesburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2008.
- Licensed in
- MS
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
103 S 19th AveHattiesburg, MS 39401-6171
Phone: (601) 544-4641
Fax: (601) 450-4632
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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 07864/5.1 (MS) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1861645657 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jerry Mayo — Ceo · (601) 544-4641 |
| Other names | Pine Belt Mental Healthcare Resources |
| NPI enumerated | October 24, 2008 |
| Last updated in NPPES | February 16, 2017 |
| Mailing address | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
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