| NPI | 1356353031 |
|---|---|
| Doing Business As | BOONEVILLE METRO MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | ROXANNE MABRY OAKLEY Owner 662-233-5279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 06588/11.1) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2009-04-15 |