Organization · NPI-2

Advantage Medical And Pharmaceutical, LLC

Durable Medical Equipment & Medical Supplies · Hattiesburg, MS

NPI number1407021744

StatusActive

Last updated in NPPESMar 9, 2021

Details

NPI: 1407021744
Entity type: Organization (NPI-2)
Legal business name: Advantage Medical And Pharmaceutical, LLC
Organization subpart: No
Enumeration date: Apr 28, 2008
Certification date: Mar 9, 2021
Last updated: Mar 9, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
332B00000X	Durable Medical Equipment & Medical Supplies	–	–	Yes
332BN1400X	Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies	–	–
332BP3500X	Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition	–	–
332BX2000X	Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	–	–

Other names

Pine Belt Medical Equipment (Doing Business As)

Practice location

6375 U S Highway 98 Ste 40
Hattiesburg, MS 39402-7411

Phone 601-268-1422 · Fax 601-268-1424

Mailing address

6375 U S Highway 98
Suite 40
Hattiesburg, MS 39402-7410

Phone 601-268-1422 · Fax 601-268-1424

Authorized official

Brittany N. Roach
Managing Partner
6012681422

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