# NORTH MISSISSIPPI MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NMMC OUTPATIENT INFUSION SERVICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447367834
- **Authorized official:** PATTI HAWKINS PHARMD (DIRECTOR)
- **Authorized official phone:** (662) 377-4731

## Contact information

- **Practice address:** 990 S MADISON ST, STE 2, TUPELO, MS 38801-6308
- **Practice address phone:** (662) 377-4919
- **Practice address fax:** (662) 377-7236
- **Mailing address:** 990 SOUTH MADISON STREET, STE 2, TUPELO, MS 38801
- **Mailing address phone:** (662) 377-4919
- **Mailing address fax:** (662) 377-7236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | 04363 | MS | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 09/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00330099 | — | MS |
| 01 | — | 2047209 | PK | — |
| 05 | — | 40413 | — | MS |