# AVAILABLE PHARMACEUTICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTHERN RESPIRATORY SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134226210
- **Authorized official:** MR. JIM R KELLY R. PH. (OWNER/CEO)
- **Authorized official phone:** (601) 782-9943

## Contact information

- **Practice address:** 138 OIL FIELD RD \# 77, RALEIGH, MS 39153-6428
- **Practice address phone:** (601) 782-9943
- **Practice address fax:** (601) 782-9968
- **Mailing address:** PO BOX 296, RALEIGH, MS 39153-0296
- **Mailing address phone:** (601) 782-9943
- **Mailing address fax:** (601) 782-9968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 05184/11.1 | MS | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/29/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00440265 | — | MS |