Organization · NPI-2

Delta Health System

Pharmacy, Community/Retail Pharmacy · Greenville, MS

NPI number1376930149
StatusActive
Last updated in NPPESApr 10, 2026

Details

NPI
1376930149
Entity type
Organization (NPI-2)
Legal business name
Delta Health System
Organization subpart
Yes
Enumeration date
Apr 20, 2015
Certification date
Apr 10, 2026
Last updated
Apr 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy13785/2.0–Yes

Other names

  • Delta Health - The Medical Center Specialty Pharmacy (Doing Business As)
  • Delta Health Specialty Pharmacy (Other Name)

Practice location

1400 E Union St
Greenville, MS 38703-3246

Phone 662-378-3783 · Fax 662-334-2424

Mailing address

Po Box 5247
Greenville, MS 38704-5247

Phone 662-378-3783 · Fax 662-334-2424

Authorized official

Iris Louise Stacker
Ceo
6627252264

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacy, Community/Retail Pharmacy providers in Greenville, MS