Organization
ADVANTAGE MEDICAL AND PHARMACEUTICAL, LLC
Active
Other names
Pine Belt Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRITTANY N. ROACH (MANAGING PARTNER)
(601) 268-1422
Entity
Organization
Contact information
Practice address
6375 U S HIGHWAY 98 STE 40, HATTIESBURG, MS 39402-7411
(601) 268-1422
(601) 268-1424
Mailing address
6375 U S HIGHWAY 98, SUITE 40, HATTIESBURG, MS 39402-7410
(601) 268-1422
(601) 268-1424
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01184021
—
MS
Enumeration date
04/28/2008
Last updated
03/09/2021
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