Diamond Grove Center
NPI #1619000593 in Louisville, Mississippi
Provider Information
- NPI Number
- 1619000593
- Entity Type
- Organization
- Organization Name
- Diamond Grove Center
- Primary Specialty
- Pharmacy - Institutional Pharmacy
- Enumeration Date
- Mar 13, 2007
- Last Updated
- Dec 13, 2007
Practice Location
- Address
- 2311 HIGHWAY 15 S
- City
- Louisville
- State
- Mississippi
- ZIP Code
- 39339-7071
- Phone
- (662) 779-0119
Authorized Official
- Name
- PATRICK SWOOPES
- Title
- ADMINISTRATOR
- Phone
- (662) 779-0119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Institutional Pharmacy — Institutional Pharmacy |
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