# FAMILY MEDICAL SUPPLY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124123070
- **Authorized official:** STEPHEN GRIGGS (CEO)
- **Authorized official phone:** (407) 206-0040

## Contact information

- **Practice address:** 329 NORTH BLVD, CLINTON, NC 28328-1911
- **Practice address phone:** (910) 592-0449
- **Practice address fax:** (910) 592-0529
- **Mailing address:** 220 W GERMANTOWN PIKE STE 250, PLYMOUTH MEETING, PA 19462-1437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 00904 | NC | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 09/23/2021