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Organization
NORTH MISSISSIPPI MEDICAL CENTER
Active
Organization
NORTH MISSISSIPPI MEDICAL CENTER
Active
Other names
NMMC OUTPATIENT INFUSION SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI HAWKINS PHARMD (DIRECTOR)
(662) 377-4731
Entity
Organization
Contact information
Practice address
990 S MADISON ST, STE 2, TUPELO, MS 38801-6308
(662) 377-4919
(662) 377-7236
Mailing address
990 SOUTH MADISON STREET, STE 2, TUPELO, MS 38801
(662) 377-4919
(662) 377-7236
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
Primary
04363
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330099
—
MS
01
—
2047209
PK
—
05
—
40413
—
MS
Enumeration date
08/23/2006
Last updated
09/19/2025
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