Organization · Type 2 NPI

Baptist Memorial Hospital-Desoto, Inc.

Community/Retail Pharmacy · Southaven, MS

NPI number 1790669331 Active

Practice location

7601 Southcrest Pkwy
Southaven, MS 38671-4739

Fax (901) 227-5004

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
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 …

158 other providers at this address

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NPI record

NPI: 1790669331
Entity type: Organization (Type 2)
Issued: Aug 5, 2025
Last updated: Dec 18, 2025
Status: Active
Subpart: Yes of Baptist Memorial Hospital-Desoto, Inc.

Other names

Baptist Desoto Outpatient Pharmacy · doing business as

Authorized official

Gregory M Duckett
EVP 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 1790669331

Baptist Memorial Hospital-Desoto, Inc.'s National Provider Identifier is 1790669331, issued on Aug 5, 2025. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Southaven, MS. The record was last updated on Dec 18, 2025.