Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
DIAMOND GROVE CTR PHARMACY
Active
Organization
DIAMOND GROVE CTR PHARMACY
Active
Other names
DIAMOND GROVE CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK SWOOPES PHARMD (CEO)
(662) 779-0119
Entity
Organization
Contact information
Practice address
2311 HIGHWAY 15 S, LOUISVILLE, MS 39339-7071
(662) 779-0119
(662) 779-0126
Mailing address
2311 HIGHWAY 15 S, LOUISVILLE, MS 39339-7071
(662) 779-0119
(662) 779-0126
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
03665
MS
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330450
—
MS
01
—
2047294
PK
—
Enumeration date
08/10/2006
Last updated
07/15/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers