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Organization

DELTA HEALTH SYSTEM

Active
Parent organization
DELTA HEALTH SYSTEM
Other names
Delta Health-Northwest Regional (Specialty Pharmacy)
Organization subpart
Yes

Provider details

NPI number
Legal business name
DELTA HEALTH SYSTEM
Authorized official
IRIS STACKER (CEO)
(662) 725-2020
Entity
Organization

Contact information

Practice address
1970 HOSPITAL DR STE 1, CLARKSDALE, MS 38614-7202
(662) 624-3165
Mailing address
1970 HOSPITAL DR STE 1, CLARKSDALE, MS 38614-7202
(662) 627-3211

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
06/02/2021
Last updated
11/14/2022
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