# DIVERSIFIED INFUSIONCARE SOLUTIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316983869
- **Authorized official:** STAN HAMILTON RPH (PRESIDENT)
- **Authorized official phone:** (662) 320-9696

## Contact information

- **Practice address:** 403 HOSPITAL RD, STARKVILLE, MS 39759-2164
- **Practice address phone:** (662) 320-9696
- **Practice address fax:** (662) 320-9616
- **Mailing address:** PO BOX 2394, STARKVILLE, MS 39760-2394

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 333600000X | Pharmacy | 0463302DT | MS | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/22/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00440638 | — | MS |
| 05 | — | 0330522 | — | MS |
| 01 | — | 2519710 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |