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Contact Information

KILMICHAEL MEDICAL SUPPLIERS
107 N FRONT STREET
WINONA, MS38967
 Phone: 662-283-1551
 Fax: 662-283-2332
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for KILMICHAEL MEDICAL SUPPLIERS

NPI # 1609076702
LBN Legal business name KILMICHAEL MEDICAL SUPPLIERS
Authorized official KEITH WARE - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/18/2007
Last updated 07/18/2007 - About 19 years ago
Identifiers
MS Medicaid 00330316
MS Medicaid 00440411
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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