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Organization

PREMIER MEDICAL EQUIPMENT & SUPPLIES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNETH R CLARK RPH (OWNER)
(228) 762-7776
Entity
Organization

Contact information

Practice address
4211 HOSPITAL ST STE 102, PASCAGOULA, MS 39581-5310
(228) 762-7776
(228) 762-7786
Mailing address
4211 HOSPITAL ST STE 102, PASCAGOULA, MS 39581-5310
(228) 762-7776
(228) 762-7786

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
058264/11.1
MS
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MS

Other

Enumeration date
05/23/2006
Last updated
01/31/2017
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