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Organization

BAPTIST MEMORIAL HOSPITAL-DESOTO, INC.

Active
Parent organization
BAPTIST MEMORIAL HOSPITAL-DESOTO, INC.
Other names
Baptist Desoto Outpatient Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
BAPTIST MEMORIAL HOSPITAL-DESOTO, INC.
Authorized official
GREGORY M DUCKETT (EVP CLO)
(901) 227-5233
Entity
Organization

Contact information

Practice address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(901) 227-4133
(901) 227-5004
Mailing address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
08/05/2025
Last updated
12/18/2025
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