Organization
MS STATE VETERANS HOME KOSCIUSKO
Active
Parent organization
MS STATE VETERANS AFFAIRS BOARD
Organization subpart
Yes
Provider details
NPI number
Legal business name
MS STATE VETERANS AFFAIRS BOARD
Authorized official
DAVID POCHE (PHARMACIST)
(662) 290-3000
Entity
Organization
Contact information
Practice address
310 AUTUMN RIDGE DR, KOSCIUSKO, MS 39090-3242
(662) 290-3000
(662) 289-7824
Mailing address
310 AUTUMN RIDGE DR, KOSCIUSKO, MS 39090-3242
(662) 290-3000
(662) 289-7824
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
806
MS
3336I0012X
Institutional Pharmacy
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—
Other
Enumeration date
06/28/2018
Last updated
11/10/2022
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