# GATHRIGHT-REED MEDICAL SUPPLY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GATHRIGHT REED
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194880526
- **Authorized official:** DAVID KINCAID RPH (OWNER)
- **Authorized official phone:** (662) 234-4843

## Contact information

- **Practice address:** 300 HERITAGE DR, OXFORD, MS 38655-5463
- **Practice address phone:** (662) 234-4843
- **Practice address fax:** (662) 234-1314
- **Mailing address:** PO BOX 1105, OXFORD, MS 38655-1105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 05225/2.0 | MS | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/26/2006
- **Last updated:** 09/18/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00440687 | — | MS |
| 01 | — | 2046379 | PK | — |