Organization
ALLIANCE HEALTH CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PATTERSON (CEO)
(601) 483-6211
Entity
Organization
Contact information
Practice address
5000 HIGHWAY 39 N, MERIDIAN, MS 39301-1021
(601) 483-6211
(601) 696-4898
Mailing address
5000 HIGHWAY 39 N, MERIDIAN, MS 39301-1021
(601) 483-6211
(601) 696-4898
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
04662
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00020237
—
MS
01
—
00020375
BLUE CROSS PROVIDER #
MS
Enumeration date
03/13/2007
Last updated
08/22/2020
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