Organization
AVAILABLE MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY CARLTON JENKINS (OWNER)
(601) 649-4418
Entity
Organization
Contact information
Practice address
912 HIGHWAY 15, STRINGER, MS 39481-4230
(604) 649-4418
(601) 649-4487
Mailing address
PO BOX 128, 912 HIGHWAY 15, STRINGER, MS 39481-0128
(604) 649-4418
(601) 649-4487
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
05068/11.1
MS
3336S0011X
Specialty Pharmacy
05321/02.5
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330648
—
MS
05
—
00440829
—
MS
01
—
1285669150
MEDICARE NPI
MS
Enumeration date
10/02/2007
Last updated
04/19/2011
Update your record
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