Organization
RIVER REGION HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
V KAREN FLINN (VP)
(361) 579-0315
Entity
Organization
Contact information
Practice address
2100 HIGHWAY 61 N, PHARMACY, VICKSBURG, MS 39183-8211
(601) 415-3809
Mailing address
118 BRECKENRIDGE DR, APT 205, HATTIESBURG, MS 39402-3504
(601) 415-3809
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
E-13632
MS
3336C0002X
Clinic Pharmacy
E-13632
MS
3336C0003X
Community/Retail Pharmacy
E-13632
MS
3336C0004X
Compounding Pharmacy
E-13632
MS
3336I0012X
Institutional Pharmacy
E-13632
MS
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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