# SOUTH CENTRAL REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTH CENTRAL REGIONAL MEDICAL CENTER
- **Other names:** South Central Specialty Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841913068
- **Legal business name:** SOUTH CENTRAL REGIONAL MEDICAL CENTER
- **Authorized official:** STEPHEN EAST (CFO)
- **Authorized official phone:** (601) 399-6144

## Contact information

- **Practice address:** 1220 JEFFERSON STREET, SUITE 3, LAUREL, MS 39440
- **Practice address phone:** (601) 335-8940
- **Practice address fax:** (601) 516-8966
- **Mailing address:** 1620 W. NORTHWEST HWY, SUITE 100, GRAPEVINE, TX 76051
- **Mailing address phone:** (817) 572-0009
- **Mailing address fax:** (817) 572-0221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/22/2022
- **Last updated:** 12/02/2025