# SOUTH CENTRAL REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTH CENTRAL REGIONAL MEDICAL CENTER
- **Other names:** South Central Outpatient Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083657381
- **Legal business name:** SOUTH CENTRAL REGIONAL MEDICAL CENTER
- **Authorized official:** STEPHEN EAST (CFO)
- **Authorized official phone:** (601) 399-6144

## Contact information

- **Practice address:** 1220 JEFFERSON ST STE 2, LAUREL, MS 39440-4355
- **Practice address phone:** (601) 426-4961
- **Practice address fax:** (601) 426-4909
- **Mailing address:** PO BOX 607, LAUREL, MS 39441-0607
- **Mailing address phone:** (601) 426-4961
- **Mailing address fax:** (601) 426-4909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 06/22/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200023046 | — | MS |
| 01 | — | 2043274 | PK | — |