Organization
DIS SOLUTIONS LLC
Active
Organization
DIS SOLUTIONS LLC
Active
Other names
DIS SOLUTIONS
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL RUSS HUDDLESTON (CHIEF OPER OFFICE)
(662) 769-0280
Entity
Organization
Contact information
Practice address
403 HOSPITAL RD, SUITE B, STARKVILLE, MS 39759-2164
(662) 320-9696
(662) 323-5719
Mailing address
PO BOX 2371, STARKVILLE, MS 39760-2371
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
04633/02.1
MS
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
04633/021
MS
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
04633021
MS
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000030527
BC BS OF MS HIT
MS
05
—
00330522
—
MS
05
—
00440638
—
MS
01
—
2587143
OTHER ID NUMBER
—
Enumeration date
01/28/2008
Last updated
12/15/2009
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