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

University Pavilion Pharmacy

Organization Clinic Pharmacy · NPI 1417090093

University Pavilion Pharmacy is a Clinic Pharmacy in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007

Practice location Address checks out

1410 E Woodrow Wilson Dr
Jackson, MS 39216
Phone: (601) 984-2058
Fax: (601) 984-2063
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic Pharmacy (primary) Taxonomy 3336C0002X · Licence 02188 (MS)

Record details

NPI number1417090093
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Cobb — Pharmacy Supervisor · (601) 984-2058
NPI enumeratedFebruary 14, 2007
Last updated in NPPESSeptember 7, 2007
Mailing address1410 E Woodrow Wilson Dr, Jackson, MS 39216