Organization
ALLPHARM INC.
Active
Other names
Select Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JAYMIE EASTERLING (ADMINISTRATOR)
(601) 607-3252
Entity
Organization
Contact information
Practice address
141A ENTERPRISE DR, MADISON, MS 39110-8746
(877) 607-3252
(888) 947-4276
Mailing address
141A ENTERPRISE DR, MADISON, MS 39110-8746
(877) 607-3252
(888) 947-4276
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
07004/06.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08175833
—
MS
Enumeration date
11/13/2006
Last updated
04/02/2012
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