| NPI | 1285747741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KELLY THOMAS Purchasing Agent 662-534-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MS 03811/11.1) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2008-04-20 |