Vicksburg Special Care Pharmacy And Compounding Llc
Community/Retail Pharmacy
4079 Pemberton Square Blvd, Vicksburg
Mississippi, 39180-5580
601-636-5555 601-638-1564
Vicksburg Special Care Pharmacy And Compounding Llc is a Community/Retail Pharmacy in Vicksburg, Mississippi. It is located at 4079 Pemberton Square Blvd, Vicksburg and it's customer support contact number is 601-636-5555. The authorized person of Vicksburg Special Care Pharmacy And Compounding Llc is Jason Rutland, PHARM D who is Mgr of the pharmacy and his contact number is 601-983-1239. Active license number of Vicksburg Special Care Pharmacy And Compounding Llc is 08249/1.1 for Community/Retail Pharmacy in Mississippi.
Vicksburg Special Care Pharmacy And Compounding 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:
Vicksburg Special Care Pharmacy And Compounding 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: | Vicksburg Special Care Pharmacy And Compounding Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 4079 Pemberton Square Blvd, Vicksburg,
Mississippi, 39180-5580 |
| Phone: | 601-636-5555 |
| Fax: | 601-638-1564 |
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: | Jason Rutland |
| Credentials: | PHARM D |
| Position: | Mgr |
| Contact Number: | 601-983-1239 |
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: | 1659606663 |
| NPI Enumeration Date: | 08 Oct, 2009 |
| NPI Last Update On: | 07 Oct, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vicksburg Special Care Pharmacy And Compounding Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 08249/1.1 | 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 |
| 2122108 | Other | | Pk |
| 123555 | Medicaid | Louisiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1485 Livingston Ln,
Jackson, Mississippi |
| Zip: | 39213-8004 |
| Phone Number: | 601-326-7347 |
| Fax Number: | 601-982-7103 |
Patients can reach Vicksburg Special Care Pharmacy And Compounding Llc at
4079 Pemberton Square Blvd, Vicksburg, Mississippi or can
call on customer care at 601-636-5555.
Comments/ Reviews:
Read all the reviews posted for Vicksburg Special Care Pharmacy And Compounding Llc below. You may also share your own experience with Vicksburg Special Care Pharmacy And Compounding Llc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.