# BOA VIDA HOSPITAL OF ABERDEEN, MS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MRH Outpatient Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134858269
- **Authorized official:** DR. KIRNJOT SINGH MD (PRESIDENT)
- **Authorized official phone:** (219) 228-4355

## Contact information

- **Practice address:** 502 JACKSON ST STE 1, ABERDEEN, MS 39730-3303
- **Practice address phone:** (662) 369-2455
- **Practice address fax:** (662) 319-2125
- **Mailing address:** 10996 FOUR SEASONS PL STE 100C, CROWN POINT, IN 46307-7762
- **Mailing address phone:** (662) 510-4221

## Taxonomy

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

## Other

- **Enumeration date:** 06/06/2022
- **Last updated:** 05/28/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4531376 | — | MS |