Southern Pulmonary Care Services Inc
Pharmacist
316a Coffee St, Pontotoc
Mississippi, 38863-2606
662-489-3116 662-489-3388
Southern Pulmonary Care Services Inc is a Pharmacist in Pontotoc, Mississippi. It is located at 316a Coffee St, Pontotoc and it's customer support contact number is 662-489-3116. The authorized person of Southern Pulmonary Care Services Inc is Mr. Carl Wayne Mahon, CRT who is Owner of this DME and his contact number is 662-489-3116. Active license number of Southern Pulmonary Care Services Inc is 04138102.5 for Pharmacist in Mississippi.
Southern Pulmonary Care Services Inc is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
DME Supplier Details:
Southern Pulmonary Care Services Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Southern Pulmonary Care Services Inc |
| Type: | Pharmacist |
| Location: | 316a Coffee St, Pontotoc,
Mississippi, 38863-2606 |
| Phone: | 662-489-3116 |
| Fax: | 662-489-3388 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Carl Wayne Mahon |
| Credentials: | CRT |
| Position: | Owner |
| Contact Number: | 662-489-3116 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1740287028 |
| NPI Enumeration Date: | 01 Jul, 2005 |
| NPI Last Update On: | 02 Aug, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southern Pulmonary Care Services Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 04138102.5 | Mississippi | Primary | |
| Oxygen Equipment & Supplies | 02615/11.1 | Mississippi | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00040190 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 41,
Pontotoc, Mississippi |
| Zip: | 38863-0041 |
| Phone Number: | 662-489-3116 |
| Fax Number: | 662-489-3388 |
Patients can reach Southern Pulmonary Care Services Inc at
316a Coffee St, Pontotoc, Mississippi or can
call on customer care at 662-489-3116.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.