Deep South Medical Supply, Llc
LBN: Deep South Medical Supply, Llc
Deep South Medical Supply, Llc is an health care organization with primary practice located at 311 Chisum St , Sicily Island LA 71368-4807. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Deep South Medical Supply, Llc can be contacted via phone (318) 389-5807, or through Bannister, John via phone (318) 927-3523.
Contact Information
Primary practice address
311 Chisum St
Sicily Island LA 71368-4807
Phone: (318) 389-5807
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1801356621 |
|---|---|
| LBN Legal business name | Deep South Medical Supply, Llc |
| DBA Doing business as | |
| Authorized official | Bannister, John |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 20th, 2019 |
| Last updated | Dec 7th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801356621 | NPPES |
| Louisiana | MEDICAID | 2207385 |
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