Organization
MISSISSIPPI MEDICAL PRODUCTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKY CASH REGISTERED PHARMACIS (PHARMACIST OWNER)
(662) 226-0036
Entity
Organization
Contact information
Practice address
1716 COMMERCE ST STE A, GRENADA, MS 38901
(662) 226-0036
(662) 226-4352
Mailing address
1716 COMMERCE ST STE A, GRENADA, MS 38901
(662) 226-0036
(662) 226-4352
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0680320
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07185000
—
MS
Enumeration date
08/21/2006
Last updated
08/22/2020
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