Organization Name: | MEDICINE CHEST MEDICAL SUPPLY, INC. |
NPI Number: | 1255523122 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOE K WEAVER (PARTNER) |
Mailing Address: | 623 W Rutherford St Mt Vernon |
State: | TX US |
Postal Code: | 754573105 |
Phone Number: | 9035373015 |
Fax Number: | 9038858734 |
NPI Enumeration Date: | 08/15/2007 |
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: |