Organization
BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC.
Active
Parent organization
BAPTIST MEMORIAL HEALTH CARE CORP.
Other names
Baptist Booneville Outpatient Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST MEMORIAL HEALTH CARE CORP.
Authorized official
GREGORY M DUCKETT (SR VP/ CLO)
(901) 227-5233
Entity
Organization
Contact information
Practice address
100 HOSPITAL ST, BOONEVILLE, MS 38829-3354
(662) 720-5250
(662) 720-5275
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(901) 227-4133
(901) 227-5004
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
09/30/2020
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