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Organization

GREENWOOD LEFLORE HOSPITAL

Active
Other names
GREENWOOD LEFLORE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
DAWNE HOLMES (CFO)
(662) 459-2603
Entity
Organization

Contact information

Practice address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(662) 459-2633
Mailing address
PO BOX 1410, GREENWOOD, MS 38935-1410
(662) 459-7149
(662) 459-1159

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
00483031
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00030164
MS
Enumeration date
12/27/2007
Last updated
05/07/2018
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