Organization Name: | MEDCO, L.L.C. |
NPI Number: | 1417154279 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RODNEY MILLER (GENERAL MANAGER) |
Mailing Address: | 3691 Dadeville Rd Alexander City |
State: | AL US |
Postal Code: | 350104501 |
Phone Number: | 2562153889 |
Fax Number: | |
NPI Enumeration Date: | 06/27/2007 |
NPI Last Update Date: | 12/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BN1400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Nursing Facility Supplies |
Taxonomy Definition: |