Organization
MS MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE ROMERO (PRESIDENT)
(601) 384-6276
Entity
Organization
Contact information
Practice address
1709 DELAWARE AVE, MCCOMB, MS 39648-3636
(601) 684-8070
(601) 684-0513
Mailing address
407C APACHE DR, MCCOMB, MS 39648-6311
(601) 684-0511
(601) 684-0513
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
02002/11.1
MS
332BX2000X
Oxygen Equipment & Supplies (DME)
02002/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07421269
—
MS
Enumeration date
07/20/2007
Last updated
03/31/2008
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