Organization · NPI-2
Forrest General Hospital
Pharmacy, Long Term Care Pharmacy · Hattiesburg, MS
NPI number1740795806
StatusActive
Last updated in NPPESDec 11, 2017
Details
- NPI
- 1740795806
- Entity type
- Organization (NPI-2)
- Legal business name
- Forrest General Hospital
- Organization subpart
- Yes
- Enumeration date
- Dec 11, 2017
- Last updated
- Dec 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | 042355.1 | MS | Yes |
| 3336H0001X | Pharmacy, Home Infusion Therapy Pharmacy | 04235.5.1 | MS |
Other names
- Hospice/Homecare Pharmacy (Other Name)
Practice location
1414 South 28th AvenueHattiesburg, MS 39401
Phone 601-288-2438 · Fax 601-288-2486
Mailing address
1414 South 28th AvenueHattiesburg, MS 39401
Phone 601-288-2438 · Fax 601-288-2486
Authorized official
Ben Hester
Chief Financial Officer
6012884225
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