OrganizationActive
South Mississippi Regional
NPI 1629091616 · Long Term Care Pharmacy · Long Beach, MS
Provider details
- NPI number
- 1629091616
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Lionel Heidingsfelder, Pharmacist(228) 867-1331
- License
- 01345041 (MS)
Specialties & taxonomies
Suppliers
Practice location
1170 W Railroad St
Long Beach, MS 39560-4106
Phone: (228) 867-1331
Fax: (228) 867-1459
Approximate (ZIP-level) locationGet directions
Mailing address
1170 W Railroad St
Long Beach, MS 39560-4106
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.