UNIVERSITY PAVILION PHARMACY
1410 E Woodrow Wilson Dr
Jackson, MS 39216
601-984-2058
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | MS | 02188 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
30158 | MS | MEDICAID |