Organization
PIXIES PANTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DUSTY MCLEAN (OWNER)
(601) 300-0702
Entity
Organization
Contact information
Practice address
3959 PRICEDALE DR SE, SUMMIT, MS 39666-8249
(601) 327-8333
Mailing address
3959 PRICEDALE DR SE, SUMMIT, MS 39666-8249
(601) 327-8333
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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