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Organization

FAMILY MEDICAL SUPPLY LLC

Active
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Organization

FAMILY MEDICAL SUPPLY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization

Contact information

Practice address
2810 MERIDIAN PKWY STE 152, DURHAM, NC 27713-2234
(919) 314-0414
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
00139
NC

Other

Enumeration date
08/30/2006
Last updated
10/14/2025
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