Organization · Type 2 NPI

Baptist Memorial Hospital-Booneville, Inc.

Community/Retail Pharmacy · Booneville, MS

NPI number 1730796483 Active

Practice location

100 Hospital St
Booneville, MS 38829-3354

Call (662) 720-5250 Map

Fax (662) 720-5275

Mailing address

350 N Humphreys Blvd
Memphis, TN 38120-2177

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

25 other providers at this address

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NPI record

NPI: 1730796483
Entity type: Organization (Type 2)
Issued: Sep 28, 2020
Last updated: Sep 30, 2020
Status: Active
Subpart: Yes of Baptist Memorial Health Care Corp.

Other names

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Baptist Booneville Outpatient Pharmacy · other name
Baptist Booneville Outpatient Pharmacy · other name

Authorized official

Gregory M Duckett
SR VP/ Clo
(901) 227-5233

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1730796483

Baptist Memorial Hospital-Booneville, Inc.'s National Provider Identifier is 1730796483, issued on Sep 28, 2020. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Booneville, MS. The record was last updated on Sep 30, 2020.