Organization
OHARA MEDICAL SUPPLIES & EQUIP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK E HUDSON (CEO OWNER)
(662) 671-0021
Entity
Organization
Contact information
Practice address
1069 CARROLL STREET, TUNICA, MS 38676-0489
(662) 671-0021
Mailing address
PO BOX 489, TUNICA, MS 38676-0489
(662) 671-0021
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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