Organization
SSD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT M BAILEY (OWNER)
(662) 534-4774
Entity
Organization
Contact information
Practice address
498 W BANKHEAD ST, NEW ALBANY, MS 38652-3319
(662) 534-4774
(665) 534-4775
Mailing address
PO BOX 867, NEW ALBANY, MS 38652-0867
(662) 534-4774
(665) 534-4775
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
02138/01.1
MS
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440688
—
MS
05
—
03837896
—
MS
01
—
2123079
PK
—
Enumeration date
11/02/2009
Last updated
02/10/2026
Update your record
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