Midsouth Medical Specialties Llc
Community/Retail Pharmacy
1433 Goodman Rd W, Horn Lake
Mississippi, 38637-1404
901-674-3148 Midsouth Medical Specialties Llc is a Community/Retail Pharmacy in Horn Lake, Mississippi. It is located at 1433 Goodman Rd W, Horn Lake and it's customer support contact number is 901-674-3148. The authorized person of Midsouth Medical Specialties Llc is Jake O'bannon who is Pharmacist of the pharmacy and his contact number is 662-280-7455.
Midsouth Medical Specialties Llc 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:
Midsouth Medical Specialties Llc 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: | Midsouth Medical Specialties Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 1433 Goodman Rd W, Horn Lake,
Mississippi, 38637-1404 |
| Phone: | 901-674-3148 |
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: | Jake O'bannon |
| Position: | Pharmacist |
| Contact Number: | 662-280-7455 |
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: | 1932864667 |
| NPI Enumeration Date: | 08 Nov, 2021 |
| NPI Last Update On: | 08 Nov, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Midsouth Medical Specialties Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | | | Primary | |
| Compounding 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 |
| 02434788 | 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: | 1433 Goodman Rd W,
Horn Lake, Mississippi |
| Zip: | 38637-1404 |
| Phone Number: | 662-280-7455 |
Patients can reach Midsouth Medical Specialties Llc at
1433 Goodman Rd W, Horn Lake, Mississippi or can
call on customer care at 901-674-3148.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.