Organization
BOA VIDA HOSPITAL OF ABERDEEN, MS LLC
Active
Other names
MRH Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRNJOT SINGH MD (PRESIDENT)
(219) 228-4355
Entity
Organization
Contact information
Practice address
502 JACKSON ST STE 1, ABERDEEN, MS 39730-3303
(662) 369-2455
(662) 319-2125
Mailing address
10996 FOUR SEASONS PL STE 100C, CROWN POINT, IN 46307-7762
(662) 510-4221
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4531376
—
MS
Enumeration date
06/06/2022
Last updated
05/28/2025
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