Vicksburg Special Care Pharmacy And Compounding Llc is not a DME supplier for medicare equipments and products.
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
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:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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