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Organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Active
Organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Active
Parent organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Other names
South Central Outpatient Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Authorized official
STEPHEN EAST (CFO)
(601) 399-6144
Entity
Organization
Contact information
Practice address
1220 JEFFERSON ST STE 2, LAUREL, MS 39440-4355
(601) 426-4961
(601) 426-4909
Mailing address
PO BOX 607, LAUREL, MS 39441-0607
(601) 426-4961
(601) 426-4909
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200023046
—
MS
01
—
2043274
PK
—
Enumeration date
06/14/2006
Last updated
06/22/2026
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