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Vicksburg Special Care Pharmacy and Compounding, LLC

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Company Details

Name: Vicksburg Special Care Pharmacy and Compounding, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 31 Jul 2009 (16 years ago)
Business ID: 953010
ZIP code: 39180
County: Warren
State of Incorporation: MISSISSIPPI
Principal Office Address: 4079 PEMBERTON BLVDVICKBURG, MS 39180

Links between entities

Type:
Headquarter of
Company Number:
000-308-919
State:
ALABAMA
Type:
Headquarter of
Company Number:
LLC_05391962
State:
ILLINOIS

National Provider Identifier

NPI Number:
1659606663

Authorized Person:

Name:
JASON RUTLAND
Role:
MGR
Phone:

Taxonomy:

Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
6019827103
Fax:
6016381564

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Date of last update: 09 May 2025

Sources: Company Profile on Mississippi Secretary of State Website