Organization
ANDERSON REGIONAL MEDICAL CENTER
Active
Other names
Anderson Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY M DUCKETT (SR VP / CLO)
(901) 227-5233
Entity
Organization
Contact information
Practice address
2024 15TH ST, FIRST FLOOR MEDICAL TOWERS, MERIDIAN, MS 39301-4130
(601) 483-4221
(601) 693-8421
Mailing address
2024 15TH ST, FIRST FLOOR MEDICAL TOWERS, MERIDIAN, MS 39301-4130
(601) 483-4221
(601) 693-8421
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
MS
3336C0003X
Community/Retail Pharmacy
Primary
00698/01.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030572
—
MS
01
—
2514570
RETAIL PHARMACY-NABP NO.
MS
Enumeration date
08/19/2006
Last updated
12/19/2024
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