Medical Depot Llc, NPI 1609227123
Durable Medical Equipment & Medical Supplies in Mize, 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 1609227123
NPI Entity Type Organization
Provider Name Medical Depot Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 4969 Highway 28, Mize, MS, US
Provider Mailing Address 4969 Hwy 28, Mize, MS, US, 39116
Is Sole Proprietor? No
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Organization Official

Official Name Jerry R. Rayner
Official Position OWNER
Phone 601-480-6509

Primary Taxonomy

Taxonomy Code

332B00000X

Taxonomy Name Durable Medical Equipment & Medical Supplies
Classification

Durable Medical Equipment & Medical Supplies

Group

Suppliers

License State MS
Description A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Business Address

Medical Depot Llc
4969 Highway 28

Mize, MS, US

Phone: 601-480-6509

Mailing Address

Medical Depot Llc
4969 Hwy 28
Mize, MS, US
ZIP 39116
Phone: 601-480-6509

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IDD WAIVER SERVICES Sharika Jones

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IDD WAIVER SERVICES Loverta Jones

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IDD WAIVER SERVICES Porosha Gaines

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IDD WAIVER SERVICES Judy 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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