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Organization

PIONEER EXPRESS RESPIRATORY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALCIA B MOORE (OWNER)
(662) 233-2364
Entity
Organization

Contact information

Practice address
1300 GREENLEAF RD, COLDWATER, MS 38618-7547
(662) 233-2364
(662) 233-2429
Mailing address
1300 GREENLEAF RD, COLDWATER, MS 38618-7547
(662) 233-2364
(662) 233-2429

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
MS
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00040061
MS
Enumeration date
09/26/2006
Last updated
09/11/2025
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