MEDICARE: SLC HOLDINGS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0004X	Compounding Pharmacy
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	01383/1.1	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2144373	OTHER	PK
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386729317
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLC HOLDINGS

Provider Business Mailing Address
First Line	:	2219 5TH ST N
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39705-2211
Country	:	US
Telephone Number	:	662-327-5400
Fax Number	:	662-327-5225

Provider Business Practice Location Address
First Line	:	2219 5TH ST N
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39705-2211
Country	:	US
Telephone Number	:	662-327-5400
Fax Number	:	662-327-5225

Authorized Official
Title or Position	:	MANAGER
Name	:	JENE' LANDRUM
Credential	:
Telephone Number	:	662-327-5400

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	12/22/2020

Similar Medicare Providers

1083682934 — DR. MICHAEL R DUCKWORTH M.D.
Practice Location Address:

2225 5TH ST N
COLUMBUS, MS
39705-2211

Practice Phone: 662-327-0197
Practice Fax: 662-327-5660

1043241227 — MRS. KRISTY HUMBER RPH
Practice Location Address:

2211 5TH ST N , SUITE B
COLUMBUS, MS
39705-2211

Practice Phone: 662-240-8900
Practice Fax: 662-240-8966

1528099702 — MR. LEE MERRITT RPH
Practice Location Address:

2211 5TH ST N , SUITE B
COLUMBUS, MS
39705-2211

Practice Phone: 662-240-8900
Practice Fax: 662-240-8966

1548271661 — STEPHEN KEITH HOLTON P.T.
Practice Location Address:

2205 5TH ST N
COLUMBUS, MS
39705-2211

Practice Phone: 662-243-1097
Practice Fax: 662-243-1095

1063596518 — S. KEITH HOLTON, PLLC
Practice Location Address:

2205 5TH ST N
COLUMBUS, MS
39705-2211

Practice Phone: 662-243-1097
Practice Fax: 662-243-1095

1952463242 — NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOC. LTD
Practice Location Address:

2221 5TH ST N
COLUMBUS, MS
39705-2211

Practice Phone: 662-328-8125
Practice Fax: 662-328-8027

Directions to “SLC HOLDINGS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.