# DELTA HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DELTA HEALTH SYSTEM
- **Other names:** Delta Health Specialty Pharmacy, Delta Health - The Medical Center Specialty Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376930149
- **Legal business name:** DELTA HEALTH SYSTEM
- **Authorized official:** IRIS LOUISE STACKER (CEO)
- **Authorized official phone:** (662) 725-2264

## Contact information

- **Practice address:** 1400 E UNION ST, GREENVILLE, MS 38703-3246
- **Practice address phone:** (662) 378-3783
- **Practice address fax:** (662) 334-2424
- **Mailing address:** PO BOX 5247, GREENVILLE, MS 38704-5247
- **Mailing address phone:** (662) 378-3783
- **Mailing address fax:** (662) 334-2424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 13785/2.0 | NULL | Yes |

## Other

- **Enumeration date:** 04/20/2015
- **Last updated:** 04/10/2026