# KING'S DAUGHTERS MEDIAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KING'S DAUGHTERS MEDIAL CENTER
- **Other names:** King's Daughters Medical Center - Retail Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285344689
- **Legal business name:** KING'S DAUGHTERS MEDIAL CENTER
- **Authorized official:** KAREN WALLACE FREEMAN PHARM.D. (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (601) 835-9157

## Contact information

- **Practice address:** 427 HIGHWAY 51 NORTH, RETAIL PHARMACY, BROOKHAVEN, MS 39601
- **Practice address phone:** (601) 835-9462
- **Mailing address:** 427 HIGHWAY 51 NORTH, RETAIL PHARMACY, BROOKHAVEN, MS 39601
- **Mailing address phone:** (601) 835-9462

## Taxonomy

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

## Other

- **Enumeration date:** 11/28/2022
- **Last updated:** 11/28/2022