Organization
MS MEDICAL SUPPLIES, INC.
Active
Organization
MS MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE JAY ROMERO III RPH (PRESIDENT)
(601) 894-0411
Entity
Organization
Contact information
Practice address
121 W GALLATIN ST, HAZLEHURST, MS 39083-3024
(601) 894-0411
(601) 894-0455
Mailing address
121 W GALLATIN ST, P.O. BOX 786, HAZLEHURST, MS 39083-3024
(601) 894-0411
(601) 894-0455
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
06161
MS
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
06161
MS
332BX2000X
Oxygen Equipment & Supplies (DME)
06161
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05371344
—
MS
Enumeration date
05/31/2006
Last updated
09/11/2025
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