Kilmichael Medical Suppliers

NPI #1609076702 in Winona, Mississippi

Provider Information

NPI Number: 1609076702
Entity Type: Organization
Organization Name: Kilmichael Medical Suppliers
Subpart: Yes (part of a larger organization)
Parent Organization: KILMICHAEL MEDICAL SUPPLIERS
Primary Specialty: Pharmacist
Enumeration Date: Jul 18, 2007
Last Updated: Jul 18, 2007

Practice Location

Address: 107 N FRONT STREET
City: Winona
State: Mississippi
ZIP Code: 38967
Phone: (662) 283-1551

Authorized Official

Name: MR. KEITH W WARE, RT
Title: PRESIDENT
Phone: (662) 283-1551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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