Organization Name: | BLOUNT'S MUTUAL DRUG'S INC |
NPI Number: | 1396842357 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES GORDON BLOUNT (PRESIDENT) |
Mailing Address: | 323 S Broad St Edenton |
State: | NC US |
Postal Code: | 279321933 |
Phone Number: | 2524822127 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 12/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | 1464 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |