NPI 1003979386
St. Dominic-Jackson Memorial Hospital
Practice location
- Address
- 969 Lakeland Dr, Jackson, MS 39216-4606
- Phone
- (601) 200-6000
- Fax
- (601) 321-5170
Authorised official
- Name
- Samuel Thaddeus Scott
- Title
- Cfo
- Phone
- (601) 200-6570
Registered specialties
Institutional Pharmacy
Primary
Registry record
- NPI
- 1003979386
- Entity type
- Organization
- NPI issued
- 18 Dec 2006
- Record last updated
- 13 May 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.