Hattiesburg Clinic Pa
Community/Retail Pharmacy
Medical Blvd, Ste 2, Hattiesburg
Mississippi, 39401
601-268-5740 601-268-5858
Hattiesburg Clinic Pa is a Community/Retail Pharmacy in Hattiesburg, Mississippi. It is located at Medical Blvd, Ste 2, Hattiesburg and it's customer support contact number is 601-268-5740. The authorized person of Hattiesburg Clinic Pa is Diane Ashley, RPH who is Phcy Dir of the pharmacy and his contact number is 601-268-2740. Active license number of Hattiesburg Clinic Pa is 01821/1.1 for Community/Retail Pharmacy in Mississippi.
Hattiesburg Clinic Pa is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Hattiesburg Clinic Pa type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Hattiesburg Clinic Pa |
| Type: | Community/Retail Pharmacy |
| Location: | Medical Blvd, Ste 2, Hattiesburg,
Mississippi, 39401 |
| Phone: | 601-268-5740 |
| Fax: | 601-268-5858 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Diane Ashley |
| Credentials: | RPH |
| Position: | Phcy Dir |
| Contact Number: | 601-268-2740 |
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 pharmacy are as mentioned below.
| NPI Number: | 1407861016 |
| NPI Enumeration Date: | 30 Jul, 2006 |
| NPI Last Update On: | 21 Feb, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Hattiesburg Clinic Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 01821/1.1 | Mississippi | Primary | |
| Pharmacy | | | Secondary | |
| Long Term Care Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2045095 | Other | | Pk |
| 00030291 | 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: | Medical Blvd, Ste 2
Hattiesburg, Mississippi |
| Zip: | 39401 |
| Phone Number: | 601-268-5740 |
| Fax Number: | 601-268-5858 |
Patients can reach Hattiesburg Clinic Pa at
Medical Blvd, Ste 2, Hattiesburg, Mississippi or can
call on customer care at 601-268-5740.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.