Organization
MISSISSIPPI BAPTIST MEDICAL CENTER, INC.
Active
Parent organization
BAPTIST MEMORIAL HEALTH CARE CORP.
Other names
Baptist Family Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST MEMORIAL HEALTH CARE CORP.
Authorized official
GREGORY M DUCKETT (SR VP/ CLO)
(901) 227-5233
Entity
Organization
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 968-6350
(601) 968-6351
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
15022/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00031730
—
MS
Enumeration date
10/19/2016
Last updated
09/30/2020
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