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SOUTHERN PHARMACEUTICAL CORPORATION NPI 1285727719


NPI Information

NPI: 1285727719
Provider Name: SOUTHERN PHARMACEUTICAL CORPORATION

Doing Business As: SPC HOME MEDICAL EQUIPMENT

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
10551 OUTDOOR WAY
SUITE H, BUILDING 2
GULFPORT, MS
ZIP 39503
Phone: (228) 868-9553
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SOUTHERN PHARMACEUTICAL CORPORATION is an oxygen equipment and supplies durable medical equipment medical supplies in Gulfport, MS. SOUTHERN PHARMACEUTICAL CORPORATION NPI is 1285727719. The provider is registered as an organization entity type.
The provider Is Doing Business As Spc Home Medical Equipment.

The provider's business location address is:

10551 OUTDOOR WAY
SUITE H, BUILDING 2
GULFPORT, MS
ZIP 39503-698
Phone: (228) 868-9553
Fax: (228) 863-4287

The provider's authorized official is Douglas Ellis Martin .
The authorized official title is Vice President and has the following contact phone number (662) 327-2060.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 11/16/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies04334/11.1MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104250392MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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