Organization
RITZI RX MEDICAL WIG CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ROBERTS (OWNER)
(601) 462-6480
Entity
Organization
Contact information
Practice address
2120 4TH ST, MERIDIAN, MS 39301-5102
(601) 462-6480
(601) 286-1942
Mailing address
2120 4TH ST, MERIDIAN, MS 39301-5102
(601) 462-6480
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
N/A
—
Enumeration date
01/23/2020
Last updated
01/23/2020
Update your record
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