| Organization Name: | OXYGEN STORE INC |
| NPI Number: | 1154367423 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROMONA JEAN HARMAN (PRESIDENT) |
| Mailing Address: | 14 North Cherry Street Mount Gilead |
| State: | OH US |
| Postal Code: | 43338 |
| Phone Number: | 4199479502 |
| Fax Number: | 4199479902 |
| NPI Enumeration Date: | 06/22/2006 |
| NPI Last Update Date: | 10/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 59-009271 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |