| Organization Name: | THE MEDICINE CHEST INC |
| NPI Number: | 1073500088 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONALD E BERISFORD (OWNER) |
| Mailing Address: | 910 Old Camp Rd Building #170 The Villages |
| State: | FL US |
| Postal Code: | 321625604 |
| Phone Number: | 3527531877 |
| Fax Number: | 3527533755 |
| NPI Enumeration Date: | 10/04/2005 |
| NPI Last Update Date: | 08/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | PH 0016588 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |