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Organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Active
Organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Active
Parent organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Other names
South Central Specialty Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Authorized official
STEPHEN EAST (CFO)
(601) 399-6144
Entity
Organization
Contact information
Practice address
1220 JEFFERSON STREET, SUITE 3, LAUREL, MS 39440
(601) 335-8940
(601) 516-8966
Mailing address
1620 W. NORTHWEST HWY, SUITE 100, GRAPEVINE, TX 76051
(817) 572-0009
(817) 572-0221
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Enumeration date
09/22/2022
Last updated
12/02/2025
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