Premier Pharmaceutical Services, Llc, NPI 1356401491
Oxygen Equipment & Supplies (DME) in Woodville, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1356401491
NPI Entity Type Organization
Provider Name Premier Pharmaceutical Services, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1348 Us Highway 61 S, Woodville, MS, US
Provider Mailing Address Po Box 1051, Woodville, MS, US, 396691051
Is Sole Proprietor? No
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Organization Official

Official Name MR. PT Gary Russell Johnson
Official Position OWNER
Phone 601-888-7176

Primary Taxonomy

Taxonomy Code

332BX2000X

Taxonomy Name Oxygen Equipment & Supplies (DME)
Classification

Durable Medical Equipment & Medical Supplies

Group

Suppliers

License No. 05058 11.1
License State MS
Description Definition to come...

Business Address

Premier Pharmaceutical Services, Llc
1348 Us Highway 61 S

Woodville, MS, US

Phone: 601-888-7176
Fax: 601-888-7134

Mailing Address

Premier Pharmaceutical Services, Llc
Po Box 1051
Woodville, MS, US
ZIP 396691051
Phone: 601-888-7176
Fax: 601-888-7134

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1434850 LA MEDICAID 05
00440778 MS MEDICAID 05
0330599 MS MEDICAID 05
1268453 LA MEDICAID 05

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IDD WAIVER SERVICES Loverta Jones

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IDD WAIVER SERVICES Michael Mcdonald

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IDD WAIVER SERVICES Pamela Mcandrews

Individual

Day Training/Habilitation Specialist

106 Mize St Apt 26

Ellisville, MS

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