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 not a DME supplier for medicare equipments and products.
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.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | 06374/ 5.2 | Mississippi | Primary | |
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 |
| 06374/5.2 | Other | Mississippi | Permit# 06374/5.2 - (limited Closed Door) |
| CS06374/5.2 | Other | Mississippi | Controlled 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.