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Organization

AVAILABLE PHARMACEUTICAL SERVICES

Active
Other names
SOUTHERN RESPIRATORY SERVICES
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JIM R KELLY R. PH. (OWNER/CEO)
(601) 782-9943
Entity
Organization

Contact information

Practice address
138 OIL FIELD RD # 77, RALEIGH, MS 39153-6428
(601) 782-9943
(601) 782-9968
Mailing address
PO BOX 296, RALEIGH, MS 39153-0296
(601) 782-9943
(601) 782-9968

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
05184/11.1
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00440265
MS
Enumeration date
09/20/2006
Last updated
08/29/2007
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