South Mississippi State Hospital
NPI #1679630008 in Purvis, Mississippi
Provider Information
- NPI Number
- 1679630008
- Entity Type
- Organization
- Organization Name
- South Mississippi State Hospital
- Primary Specialty
- Pharmacy - Institutional Pharmacy
- Enumeration Date
- Jan 3, 2007
- Last Updated
- Nov 2, 2016
Practice Location
- Address
- 823 HIGHWAY 589
- City
- Purvis
- State
- Mississippi
- ZIP Code
- 39475-4194
- Phone
- (601) 794-0201
Authorized Official
- Name
- CLINT ASHLEY
- Title
- HOSPITAL DIRECTOR
- Phone
- (601) 794-0152
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Institutional Pharmacy — Institutional Pharmacy |
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