# PICAYUNE MEDICAL & HEALTH SUPPLIES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** medical center pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689738742
- **Authorized official:** MR. ALAN KEITH DOSSETT RPH (PRESIDENT)
- **Authorized official phone:** (601) 798-2100

## Contact information

- **Practice address:** 141 KIRKWOOD ST, PICAYUNE, MS 39466-3833
- **Practice address phone:** (601) 798-2100
- **Practice address fax:** (601) 798-5730
- **Mailing address:** 141 KIRKWOOD ST, PICAYUNE, MS 39466-3833
- **Mailing address phone:** (601) 798-2100
- **Mailing address fax:** (601) 798-5730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 0036701.1 | MS | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 03/23/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00030610 | — | MS |