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

Individual provider Ambulatory Care Pharmacist · NPI 1407560212

Mr. Dwayne Patrick Mennefield, RPH is an Ambulatory Care Pharmacist in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2023
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

977 Ellis Ave
Jackson, MS 39209-6256
Phone: (601) 944-9965
Fax: (601) 969-6419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Care Pharmacist (primary) Taxonomy 1835P2201X · Licence E-08306 (MS)

Record details

NPI number1407560212
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedJanuary 6, 2023
Last updated in NPPESJanuary 6, 2023
Certification dateJanuary 6, 2023
Mailing address160 Hartfield Dr, Madison, MS 39110-6544

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