University Pavilion Pharmacy
Clinic Pharmacy
1410 E Woodrow Wilson Dr, Jackson
Mississippi, 39216
601-984-2058 601-984-2063
University Pavilion Pharmacy is a Clinic Pharmacy in Jackson, Mississippi. It is located at 1410 E Woodrow Wilson Dr, Jackson and it's customer support contact number is 601-984-2058. The authorized person of University Pavilion Pharmacy is Mrs. Susan Hartness Cobb, R.PH. who is Pharmacy Supervisor of the pharmacy and her contact number is 601-984-2058. Active license number of University Pavilion Pharmacy is 02188 for Clinic Pharmacy in Mississippi.
University Pavilion Pharmacy 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:
University Pavilion Pharmacy 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: | University Pavilion Pharmacy |
| Type: | Clinic Pharmacy |
| Location: | 1410 E Woodrow Wilson Dr, Jackson,
Mississippi, 39216 |
| Phone: | 601-984-2058 |
| Fax: | 601-984-2063 |
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. Susan Hartness Cobb |
| Credentials: | R.PH. |
| Position: | Pharmacy Supervisor |
| Contact Number: | 601-984-2058 |
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: | 1417090093 |
| NPI Enumeration Date: | 14 Feb, 2007 |
| NPI Last Update On: | 07 Sep, 2007 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for University Pavilion Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | 02188 | 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 |
| 30158 | 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: | 1410 E Woodrow Wilson Dr,
Jackson, Mississippi |
| Zip: | 39216 |
| Phone Number: | 601-984-2058 |
| Fax Number: | 601-984-2063 |
Patients can reach University Pavilion Pharmacy at
1410 E Woodrow Wilson Dr, Jackson, Mississippi or can
call on customer care at 601-984-2058.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.