Northeast Mental Health-mental Retardation Commission
Community/Retail Pharmacy
499 Gloster Creek Vlg Ste A3, Tupelo
Mississippi, 38801-4600
662-912-5006 662-680-5125
Northeast Mental Health-mental Retardation Commission is a Community/Retail Pharmacy in Tupelo, Mississippi. It is located at 499 Gloster Creek Vlg Ste A3, Tupelo and it's customer support contact number is 662-912-5006. The authorized person of Northeast Mental Health-mental Retardation Commission is Van Watson, BS PHARMACY who is Director Of Pharmacy of the pharmacy and his contact number is 662-912-5006. Active license number of Northeast Mental Health-mental Retardation Commission is 12959/5.1 for Community/Retail Pharmacy in Mississippi.
Northeast Mental Health-mental Retardation Commission 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:
Northeast Mental Health-mental Retardation Commission 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: | Northeast Mental Health-mental Retardation Commission |
| Type: | Community/Retail Pharmacy |
| Location: | 499 Gloster Creek Vlg Ste A3, Tupelo,
Mississippi, 38801-4600 |
| Phone: | 662-912-5006 |
| Fax: | 662-680-5125 |
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: | Van Watson |
| Credentials: | BS PHARMACY |
| Position: | Director Of Pharmacy |
| Contact Number: | 662-912-5006 |
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: | 1427489517 |
| NPI Enumeration Date: | 27 Nov, 2013 |
| NPI Last Update On: | 19 Apr, 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 Northeast Mental Health-mental Retardation Commission are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 12959/5.1 | Mississippi | Primary | |
| 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 |
| 07371351 | Medicaid | Mississippi | |
| 2143598 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 499 Gloster Creek Vlg Ste A3,
Tupelo, Mississippi |
| Zip: | 38801-4600 |
| Phone Number: | 662-912-5006 |
| Fax Number: | 662-680-5125 |
Patients can reach Northeast Mental Health-mental Retardation Commission at
499 Gloster Creek Vlg Ste A3, Tupelo, Mississippi or can
call on customer care at 662-912-5006.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.