Organization Name: | THE MEDICAL STORE INC |
NPI Number: | 1043538747 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIDGET MELODY FRANZ (OFFICE MANAGER) |
Mailing Address: | 1100 College Ave Jackson |
State: | AL US |
Postal Code: | 365452405 |
Phone Number: | 2512460444 |
Fax Number: | 2512460444 |
NPI Enumeration Date: | 05/06/2010 |
NPI Last Update Date: | 08/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 347 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |