DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DIAMOND GROVE CTR PHARMACY

MEDICARE: DIAMOND GROVE CTR PHARMACY
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
13336I0012XInstitutional Pharmacy
23336L0003XLong Term Care Pharmacy
3333600000XPharmacy03665MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22047294OTHERPK

General Provider Information

NPI Number : 1558372193
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIAMOND GROVE CTR PHARMACY
Provider Business Mailing Address
First Line : 2311 HIGHWAY 15 S
Second Line :
City : LOUISVILLE
State : MS
Zip : 39339-7071
Country : US
Telephone Number : 662-779-0119
Fax Number : 662-779-0126
Provider Business Practice Location Address
First Line : 2311 HIGHWAY 15 S
Second Line :
City : LOUISVILLE
State : MS
Zip : 39339-7071
Country : US
Telephone Number : 662-779-0119
Fax Number : 662-779-0126
Authorized Official
Title or Position : CEO
Name : PATRICK SWOOPES
Credential : PHARMD
Telephone Number : 662-779-0119
Provider Enumeration Date : 08/10/2006
Last Update Date : 07/15/2016

Similar Medicare Providers

1447350160 — DIAMOND GROVE CENTER
Practice Location Address:
2311 HIGHWAY 15 S
LOUISVILLE, MS
39339-7071
Practice Phone: 662-779-0119
Practice Fax: 662-779-0126
1801967674 — DR. KENNETH E PERES MD
Practice Location Address:
2311 HIGHWAY 15 S
LOUISVILLE, MS
39339-7071
Practice Phone: 662-779-0119
Practice Fax:
1659404572 — DIAMOND GROVE CENTER
Practice Location Address:
2311 HIGHWAY 15 S
LOUISVILLE, MS
39339-7071
Practice Phone: 662-779-0119
Practice Fax: 662-779-0126
1619000593 — DIAMOND GROVE CENTER
Practice Location Address:
2311 HIGHWAY 15 S
LOUISVILLE, MS
39339-7071
Practice Phone: 662-779-0119
Practice Fax: 662-779-0126
1770617086 — DIAMOND GROVE CENTER
Practice Location Address:
2311 HIGHWAY 15 S
LOUISVILLE, MS
39339-7071
Practice Phone: 662-779-0119
Practice Fax: 662-779-0126
1861359341 — LOCALMED URGENT CARE, LLC
Practice Location Address:
180 BALL DR
LOUISVILLE, MS
39339
Practice Phone: 662-736-9123
Practice Fax: 662-736-9124

Directions to “DIAMOND GROVE CTR PHARMACY ” 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.