| Ccs Client Pharmacy | |
|
302 N Jackson St Starkville MS 39759-2504 | |
| (662) 323-9318 | |
| (362) 324-5553 |
| Full Name | Ccs Client Pharmacy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 302 N Jackson St, Starkville, Mississippi |
| Authorized Official Name and Position | Kathy Doss (BILLING SUPERVISOR) |
| Authorized Official Contact | 6623239318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccs Client Pharmacy 220 N Jackson St Starkville MS 39759 Ph: () - | Ccs Client Pharmacy 302 N Jackson St Starkville MS 39759-2504 Ph: (662) 323-9318 |
| NPI Number | 1437171444 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 12/30/2019 |
| Certification Date | 12/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437171444 | NPI | - | NPPES |
| 2586367 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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