South Mississippi Regional
NPI #1629091616 in Long Beach, Mississippi
Provider Information
- NPI Number
- 1629091616
- Entity Type
- Organization
- Organization Name
- South Mississippi Regional
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Jul 25, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1170 W RAILROAD ST
- City
- Long Beach
- State
- Mississippi
- ZIP Code
- 39560-4106
- Phone
- (228) 867-1331
Authorized Official
- Name
- LIONEL HEIDINGSFELDER, RPH
- Title
- PHARMACIST
- Phone
- (228) 867-1331
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