Deep South Medical Supply, LLC
NPI #1801356621 in Sicily Island, Louisiana
Provider Information
- NPI Number
- 1801356621
- Entity Type
- Organization
- Organization Name
- Deep South Medical Supply, LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 20, 2019
- Last Updated
- Dec 7, 2020
Practice Location
- Address
- 311 CHISUM ST
- City
- Sicily Island
- State
- Louisiana
- ZIP Code
- 71368-4807
- Phone
- (318) 389-5807
Authorized Official
- Name
- JOHN BANNISTER
- Title
- MANAGER
- Phone
- (318) 927-3523
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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