South Central Regional Medical Center Pharmacy

LBN: South Central Regional Medical Center
South Central Regional Medical Center Pharmacy is an health care organization with primary practice located at 1220 Jefferson St , Laurel MS 39440-4355. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. South Central Regional Medical Center can be contacted via phone (601) 426-4024, or through Lott, Gary via phone (601) 426-4024.

Contact Information

Primary practice address
1220 Jefferson St Laurel MS 39440-4355
Phone: (601) 426-4024
Fax: (601) 426-4909
Website:
Map and Directions
Authorized official contact:
Name: Lott, Gary
Phone: (601) 426-4024

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X 02111/3.1 Mississippi

Profile Details

NPI number 1083657381
LBN Legal business name South Central Regional Medical Center
DBA Doing business as South Central Regional Medical Center Pharmacy
Authorized official Lott, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 19th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083657381 NPPES
Other 2043274 PK
MEDICAID 00330146 PK

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