Southeast Mississippi Rural Health Initiative, Inc.

Clinic Pharmacy



  
  64 Old Airport Rd, Hattiesburg
Mississippi, 39401-8382

 601-450-5661    601-544-8627
Southeast Mississippi Rural Health Initiative, Inc. is a Clinic Pharmacy in Hattiesburg, Mississippi. It is located at 64 Old Airport Rd, Hattiesburg and it's customer support contact number is 601-450-5661. The authorized person of Southeast Mississippi Rural Health Initiative, Inc. is Mrs. Kaye Ray, CEO who is Chief Executive Officer of the pharmacy and her contact number is 601-545-8700. Active license number of Southeast Mississippi Rural Health Initiative, Inc. is 06374/ 5.2 for Clinic Pharmacy in Mississippi.
Southeast Mississippi Rural Health Initiative, Inc. is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Pharmacy Details:
Southeast Mississippi Rural Health Initiative, Inc. 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: Southeast Mississippi Rural Health Initiative, Inc.
Type: Clinic Pharmacy
Location:64 Old Airport Rd, Hattiesburg,
Mississippi, 39401-8382
Phone:601-450-5661
Fax:601-544-8627
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: Mrs. Kaye Ray
Credentials: CEO
Position: Chief Executive Officer
Contact Number: 601-545-8700
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: 1871927517
NPI Enumeration Date: 29 Aug, 2013
NPI Last Update On: 06 Sep, 2022

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southeast Mississippi Rural Health Initiative, Inc. are as mentioned below.
SpecializationLicense NumberStateStatus
Clinic Pharmacy 06374/ 5.2MississippiPrimary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
06374/5.2OtherMississippiPermit# 06374/5.2 - (limited Closed Door)
CS06374/5.2OtherMississippiControlled Substance Registration
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 1729,
Hattiesburg, Mississippi
Zip: 39403-1729
Phone Number: 601-545-3700
Fax Number: 601-450-2493
Patients can reach Southeast Mississippi Rural Health Initiative, Inc. at 64 Old Airport Rd, Hattiesburg, Mississippi or can call on customer care at 601-450-5661.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.