Organization Name: | POWELL DRUGS LLC |
NPI Number: | 1396920054 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM H POWELL (OWNER) |
Mailing Address: | 519 Main Street Mount Olive |
State: | MS US |
Postal Code: | 391190249 |
Phone Number: | 6017973881 |
Fax Number: | 6017974624 |
NPI Enumeration Date: | 12/31/2007 |
NPI Last Update Date: | 12/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 00552011 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |