Organization
MISSISSIPPI PHARMACEUTICAL SERVICES, LLC
Active
Other names
COLUMBIA MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM A PATTERSON RN (OWNER/PRESIDENT)
(601) 736-0843
Entity
Organization
Contact information
Practice address
807 HIGHWAY 98 BYP, COLUMBIA, MS 39429-3710
(601) 736-0843
(601) 736-0845
Mailing address
807 HIGHWAY 98 BYP, COLUMBIA, MS 39429-3710
(601) 736-0843
(601) 736-0845
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
05055/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440782
—
MS
Enumeration date
11/01/2005
Last updated
12/27/2022
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