Organization
TOLLEY VALERIE
Active
Other names
Health Care Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE HARDEN (OWNER)
(601) 420-0064
Entity
Organization
Contact information
Practice address
625 S PEAR ORCHARD RD, RIDGELAND, MS 39157-4836
(601) 420-0064
(601) 420-0223
Mailing address
625 S PEAR ORCHARD RD, RIDGELAND, MS 39157-4836
(601) 420-0064
(601) 420-0223
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
05882
MS
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
05864111
MS
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
05882
MS
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440861
—
MS
05
—
009985455
—
AL
05
—
02736571
—
MS
01
—
2521549
NABP NUMBER
MS
05
—
4582223
—
TN
Enumeration date
11/17/2006
Last updated
02/19/2026
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