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Organization
NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL
Active
Organization
NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL
Active
Parent organization
NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL
Other names
Brooksville Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL
Authorized official
MARY M EBERT (CEO)
(662) 726-4231
Entity
Organization
Contact information
Practice address
1556 N OLIVER ST, BROOKSVILLE, MS 39739-4003
(662) 738-5041
(662) 738-5043
Mailing address
PO BOX 480, MACON, MS 39341
(662) 738-5041
(662) 738-5043
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
06158011
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06689871
—
MS
01
—
2120473
PK
—
Enumeration date
06/01/2009
Last updated
11/08/2021
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