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Organization
PICAYUNE MEDICAL & HEALTH SUPPLIES INC
Active
Organization
PICAYUNE MEDICAL & HEALTH SUPPLIES INC
Active
Other names
medical center pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN KEITH DOSSETT RPH (PRESIDENT)
(601) 798-2100
Entity
Organization
Contact information
Practice address
141 KIRKWOOD ST, PICAYUNE, MS 39466-3833
(601) 798-2100
(601) 798-5730
Mailing address
141 KIRKWOOD ST, PICAYUNE, MS 39466-3833
(601) 798-2100
(601) 798-5730
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0036701.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030610
—
MS
Enumeration date
12/21/2006
Last updated
03/23/2011
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