| Organization Name: | MEDICINE CHEST MEDICAL SUPPLY, INC. |
| NPI Number: | 1194822478 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DWAYNE MCCORMACK (PRESIDENT) |
| Mailing Address: | 513 E Garland St Grand Saline |
| State: | TX US |
| Postal Code: | 751401984 |
| Phone Number: | 9039624251 |
| Fax Number: | 9038858734 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 11/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |