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Organization
DIVERSIFIED INFUSIONCARE SOLUTIONS
Active
Organization
DIVERSIFIED INFUSIONCARE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAN HAMILTON RPH (PRESIDENT)
(662) 320-9696
Entity
Organization
Contact information
Practice address
403 HOSPITAL RD, STARKVILLE, MS 39759-2164
(662) 320-9696
(662) 320-9616
Mailing address
PO BOX 2394, STARKVILLE, MS 39760-2394
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
NULL
333600000X
Pharmacy
0463302DT
MS
3336C0003X
Community/Retail Pharmacy
—
NULL
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440638
—
MS
05
—
0330522
—
MS
01
—
2519710
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/22/2006
Last updated
09/11/2025
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