| Organization Name: | MEDICINE PLACE INC 1008 LAMAR ST SWEETWATER TX |
| NPI Number: | 1265424832 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL GILBERT JOHNSON (PHARMACIST IN CHARGE/V.P./OWNER) |
| Mailing Address: | 2250 Chestnut St. Colorado City |
| State: | TX US |
| Postal Code: | 795123485 |
| Phone Number: | 3257283489 |
| Fax Number: | 3257288683 |
| NPI Enumeration Date: | 08/18/2005 |
| NPI Last Update Date: | 11/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 10882 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |