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Contact Information

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

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for KILMICHAEL MEDICAL SUPPLIERS INC

NPI # 1336256858
LBN Legal business name KILMICHAEL MEDICAL SUPPLIERS INC
Authorized official KEITH WAKE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/23/2006
Last updated 04/02/2008 - About 18 years ago
Identifiers
MS Medicaid 00440411
MS Other 00330316 PHARMACY
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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