Organization Name: | PROFESSIONAL PHARMACY, INC. |
NPI Number: | 1245382811 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN SMITH (PRESIDENT) |
Mailing Address: | 201 Hospital Dr Tylertown |
State: | MS US |
Postal Code: | 396672019 |
Phone Number: | 6018762487 |
Fax Number: | 6018760222 |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 06/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 02151 01.1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |