# DELTA HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DELTA HEALTH SYSTEM
- **Other names:** Delta Health-Northwest Regional (Specialty Pharmacy)
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275109027
- **Legal business name:** DELTA HEALTH SYSTEM
- **Authorized official:** IRIS STACKER (CEO)
- **Authorized official phone:** (662) 725-2020

## Contact information

- **Practice address:** 1970 HOSPITAL DR STE 1, CLARKSDALE, MS 38614-7202
- **Practice address phone:** (662) 624-3165
- **Mailing address:** 1970 HOSPITAL DR STE 1, CLARKSDALE, MS 38614-7202
- **Mailing address phone:** (662) 627-3211

## Taxonomy

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

## Other

- **Enumeration date:** 06/02/2021
- **Last updated:** 11/14/2022