# ANDERSON REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Anderson Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447364849
- **Authorized official:** GREGORY M DUCKETT (SR VP / CLO)
- **Authorized official phone:** (901) 227-5233

## Contact information

- **Practice address:** 2024 15TH ST, FIRST FLOOR MEDICAL TOWERS, MERIDIAN, MS 39301-4130
- **Practice address phone:** (601) 483-4221
- **Practice address fax:** (601) 693-8421
- **Mailing address:** 2024 15TH ST, FIRST FLOOR MEDICAL TOWERS, MERIDIAN, MS 39301-4130
- **Mailing address phone:** (601) 483-4221
- **Mailing address fax:** (601) 693-8421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | MS | — |
| 3336C0003X | Community/Retail Pharmacy | 00698/01.1 | MS | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 12/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0030572 | — | MS |
| 01 | — | 2514570 | RETAIL PHARMACY-NABP NO. | MS |