# RUSH MEDICAL FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ochsner Rush Pharmacy and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033999255
- **Authorized official:** DON LARKIN KENNEDY (CEO)
- **Authorized official phone:** (601) 703-9618

## Contact information

- **Practice address:** 1800 12TH ST, MERIDIAN, MS 39301-4158
- **Practice address phone:** (601) 484-2757
- **Mailing address:** 1800 12TH ST, MERIDIAN, MS 39301-4158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/04/2023
- **Last updated:** 06/06/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 18592 | MS BOARD OF PHARMACY | MS |