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Organization
RUSH MEDICAL FOUNDATION
Active
Organization
RUSH MEDICAL FOUNDATION
Active
Other names
Ochsner Rush Pharmacy and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DON LARKIN KENNEDY (CEO)
(601) 703-9618
Entity
Organization
Contact information
Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 484-2757
Mailing address
1800 12TH ST, MERIDIAN, MS 39301-4158
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18592
MS BOARD OF PHARMACY
MS
Enumeration date
10/04/2023
Last updated
06/06/2024
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