| Organization Name: | PICAYUNE MEDICAL & HEALTH SUPPLIES INC |
| NPI Number: | 1376671537 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALAN KEITH DOSSETT (PRESIDENT) |
| Mailing Address: | 141 Kirkwood St Picayune |
| State: | MS US |
| Postal Code: | 394663833 |
| Phone Number: | 6017982100 |
| Fax Number: | 6017985730 |
| NPI Enumeration Date: | 03/01/2007 |
| NPI Last Update Date: | 03/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 0390811.1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |