| Organization Name: | PRO-MED 1 INC |
| NPI Number: | 1073509444 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBORAH SUE SLOCUM (PRESIDENT) |
| Mailing Address: | 3489 Ladson Rd Suite B Ladson |
| State: | SC US |
| Postal Code: | 294564330 |
| Phone Number: | 8438328397 |
| Fax Number: | 8438320552 |
| NPI Enumeration Date: | 09/21/2005 |
| NPI Last Update Date: | 03/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |