Organization
PICAYUNE MEDICAL & HEALTH SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN KEITH DOSSETT RPH (PRESIDENT)
(601) 798-2100
Entity
Organization
Contact information
Practice address
141 KIRKWOOD ST, PICAYUNE, MS 39466-3833
(601) 798-2100
(601) 798-5730
Mailing address
141 KIRKWOOD ST, PICAYUNE, MS 39466-3833
(601) 798-2100
(601) 798-5730
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0390811.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00040265
—
MS
Enumeration date
03/01/2007
Last updated
03/29/2011
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