Provider Demographics
NPI:1184721490
Name:KING, DEBORAH S (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:S
Last Name:KING
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1867 CRANE RIDGE DRIVE, SUITE 150A
Mailing Address - Street 2:UNIVERSITY INTERNAL MEDICINE ASSOCIATES, LLP
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4982
Mailing Address - Country:US
Mailing Address - Phone:601-987-3988
Mailing Address - Fax:601-987-4165
Practice Address - Street 1:2500 NORTH STATE STREET
Practice Address - Street 2:DEPARTMENT OF MEDICINE/DIVISION OF HYPERTENSION
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4500
Practice Address - Country:US
Practice Address - Phone:601-984-6850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS07062183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist