Kilmichael Medical Supplies
Organization Active NPI Pharmacist · Winona, MS
NPI 1235323643 · NPPES record last updated Aug 29, 2007
Key facts
- NPI
- 1235323643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- Legal business name
- KILMICHAEL MEDICAL SUPPLIES
- Practice address
- 107 N Front Street
Winona, MS 38967 - Phone
- (662) 283-1551
- Fax
- (662) 283-2332
- NPI assigned
- Aug 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Keith W Ward, RT
- Title
- President
- Phone
- (662) 283-1551
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Kilmichael Medical Supplies
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | MS | Yes |
Addresses
Primary practice location
107 N Front Street
Winona, MS 38967
Mailing address
PO Box 185
Kilmichael, MS 39747
Phone (662) 283-1551
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00440411 | Medicaid | MS | |
| 00330316 | Other | MS | MCD PHARMACY |
Other names
- InHealth Medical Supplies LLC
Other providers in Winona, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.