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Organization
BOA VIDA HOSPITAL OF ABERDEEN, MS LLC
Active
Organization
BOA VIDA HOSPITAL OF ABERDEEN, MS LLC
Active
Other names
MRH Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRNJOT SINGH MD (PRESIDENT)
(219) 228-4355
Entity
Organization
Contact information
Practice address
502 JACKSON ST STE 1, ABERDEEN, MS 39730-3303
(662) 369-2455
(662) 319-2125
Mailing address
10996 FOUR SEASONS PL STE 100C, CROWN POINT, IN 46307-7762
(662) 510-4221
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4531376
—
MS
Enumeration date
06/06/2022
Last updated
05/28/2025
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