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NPI Code Detail

MEDICARE: JANMED SUPPLY COMPANY, INC

MEDICARE: JANMED SUPPLY COMPANY, INC
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 Supplies

General Provider Information

NPI Number : 1427382118
Entity Type Code : Organization
Provider Name (Legal Business Name) : JANMED SUPPLY COMPANY, INC
Provider Business Mailing Address
First Line : 1059 RIDGEWOOD PL
Second Line : SUITE A
City : JACKSON
State : MS
Zip : 39211-2018
Country : US
Telephone Number : 601-519-0550
Fax Number : 601-519-0553
Provider Business Practice Location Address
First Line : 1059 RIDGEWOOD PL
Second Line : SUITE A
City : JACKSON
State : MS
Zip : 39211-2018
Country : US
Telephone Number : 601-519-0550
Fax Number : 601-519-0553
Authorized Official
Title or Position : MANAGER
Name : MRS. RENU GOEL
Credential :
Telephone Number : 601-519-0550
Provider Enumeration Date : 09/28/2009
Last Update Date : 01/05/2011

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Directions to “JANMED SUPPLY COMPANY, INC ” Practice Location

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