Diamond Grove Ctr Pharmacy in Louisville - Pharmacy
Diamond Grove Ctr Pharmacy - NPI 1558372193
Diamond Grove Ctr Pharmacy is a Pharmacy in Louisville, Mississippi. Diamond Grove Ctr Pharmacy practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Diamond Grove Ctr Pharmacy is 1558372193. The last update date is 2016-07-15.
Diamond Grove Ctr Pharmacy's current location address is 2311 Highway 15 S, Louisville, Mississippi. You can contact this provider via phone number 6627790119 and fax number 6627790126. The mailing address for Diamond Grove Ctr Pharmacy is 2311 Highway 15 S, Louisville, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Diamond Grove Ctr Pharmacy |
|---|---|
| Address | 2311 Highway 15 S, Louisville, Mississippi |
| Phone Number | 6627790119 |
| Fax Number | 6627790126 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Swoopes Patrick |
| Credentials | PHARMD |
| Telephone Number | 6627790119 |
NPI Number Detail
| NPI Number | 1558372193 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2016-07-15 |
Provider Mailing Address Detail
| Address | 2311 Highway 15 S |
|---|---|
| City | Louisville |
| State | Mississippi (MS) |
| Post Code | 393397071 |
| Phone Number | 6627790119 |
| Fax Number | 6627790126 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 3665 |
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Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 330450 | MS | -- | |
| 2047294 | PK |
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What is the unique 10-digit identification code assigned to Diamond Grove Ctr Pharmacy by the Centers for Medicare & Medicaid Services?
The Diamond Grove Ctr Pharmacy has been issued the NPI (National Provider Identifier) 1558372193, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Diamond Grove Ctr Pharmacy located?
The Diamond Grove Ctr Pharmacy is located at 2311 Highway 15 S, Louisville, MS 393397071.
What is the Diamond Grove Ctr Pharmacy's specialty and taxonomy code?
The Diamond Grove Ctr Pharmacy's specialty is Pharmacy, and the corresponding taxonomy code is 333600000X.
On what date did the Diamond Grove Ctr Pharmacy receive its 1558372193 assignment from the Centers for Medicare & Medicaid Services?
The Diamond Grove Ctr Pharmacy was assigned its 1558372193 by the Centers for Medicare & Medicaid Services on 2006-08-10.
As of what date was the information regarding Diamond Grove Ctr Pharmacy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Diamond Grove Ctr Pharmacy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-07-15.