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NPI Code Detail

MEDICARE: JAMES POE

MEDICARE: JAMES POE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies1009MS
2183500000XPharmacist01009MS

General Provider Information

NPI Number : 1598707051
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMES POE
Provider Business Mailing Address
First Line : 124 E BAKER ST
Second Line :
City : INDIANOLA
State : MS
Zip : 38751-2451
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 124 E BAKER ST
Second Line :
City : INDIANOLA
State : MS
Zip : 38751-2451
Country : US
Telephone Number : 662-887-4533
Fax Number : 662-887-4572
Authorized Official
Title or Position : PHARMACIST/OWNER
Name : MR. JAMES R. POE
Credential : RPH
Telephone Number : 662-887-4533
Provider Enumeration Date : 06/11/2006
Last Update Date : 01/13/2009

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Directions to “JAMES POE ” Practice Location

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