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South Mississippi Regional
Long Term Care Pharmacy in Long Beach, Mississippi
NPI 1629091616

South Mississippi Regional is a Long Term Care Pharmacy based in Long Beach, MS and is specialized in Long Term Care Pharmacy. South Mississippi Regional practices in Long Beach, MS. The NPI Number for South Mississippi Regional is 1629091616 and holds a License No. 01345041 (Mississippi).

The current practice location address for South Mississippi Regional is 1170 W Railroad St, Long Beach, MS and can be reached out via phone at 228-867-1331 and via fax at 228-867-1459.

Location: 1170 W Railroad St, Long Beach, MS, 39560-4106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629091616
Provider Name
South Mississippi Regional
Credential
Provider Entity Type
Organization
Address
1170 W Railroad St, Long Beach, MS, 39560-4106
Phone Number
228-867-1331
Fax Number
228-867-1459
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2518287 01 OTHER ID NUMBER-COMMERCIAL NUMBER
00095206 05 MS
institution
Provider Business Practice Location Address Details
Address
1170 W Railroad St
City
Long Beach
State
Mississippi
Zip
39560-4106
Phone Number
228-867-1331
Fax Number
228-867-1459
person
Provider Business Mailing Address Details
Address
1170 W Railroad St
City
Long Beach
State
Mississippi
Zip
39560-4106
Phone Number
228-867-1331
Fax Number
228-867-1459
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
01345041 (Mississippi)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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