# MISSOURI DELTA MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MISSOURI DELTA MEDICAL CENTER
- **Other names:** Sikeston Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184217077
- **Legal business name:** MISSOURI DELTA MEDICAL CENTER
- **Authorized official:** MAURA ELIS RUSSELL (SECRETARY)
- **Authorized official phone:** (573) 472-7423

## Contact information

- **Practice address:** 102 HOSPITALITY DR, UNIT B, SIKESTON, MO 63801
- **Practice address phone:** (573) 838-2700
- **Practice address fax:** (573) 838-2701
- **Mailing address:** 102 HOSPITALITY DR, SIKESTON, MO 63801-9382
- **Mailing address phone:** (573) 471-1600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | — | Yes |

## Other

- **Enumeration date:** 02/11/2021
- **Last updated:** 10/29/2025