| Organization Name: | FAMILY MEDICAL SUPPLY INC. |
| NPI Number: | 1003911942 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH A TART (CEO/PRESIDENT) |
| Mailing Address: | 4600 Main St Ste 12 Shallotte |
| State: | NC US |
| Postal Code: | 284701899 |
| Phone Number: | 9107557066 |
| Fax Number: | 9107557068 |
| NPI Enumeration Date: | 09/14/2006 |
| NPI Last Update Date: | 05/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 00906 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |