Executive Medical Supplies LLC
NPI #1124312400 in Forest, Mississippi
Provider Information
- NPI Number
- 1124312400
- Entity Type
- Organization
- Organization Name
- Executive Medical Supplies LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 4, 2011
- Last Updated
- Aug 23, 2013
Practice Location
- Address
- 135 E THIRD ST
- City
- Forest
- State
- Mississippi
- ZIP Code
- 39074-4101
- Phone
- (601) 469-9040
Authorized Official
- Name
- MILO D COLLINS
- Title
- OWNER
- Phone
- (769) 798-9799
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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