Organization
MISSISSIPPI STATE HOSPITAL AT WHITFIELD
Active
Parent organization
MISSISSIPPI STATE HOSPITAL AT WHITFIELD
Other names
Mississippi State Hospital Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSISSIPPI STATE HOSPITAL AT WHITFIELD
Authorized official
MR. JAMES G. CHASTAIN (DIRECTOR)
(601) 351-8000
Entity
Organization
Contact information
Practice address
3550 HIGHWAY 468 W, WHITFIELD, MS 39193-5529
(601) 351-8000
(601) 351-8301
Mailing address
PO BOX 157A, WHITFIELD, MS 39193-0157
(601) 351-8000
(601) 351-8301
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00094048
—
MS
Enumeration date
10/31/2006
Last updated
07/21/2022
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