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Organization
MEDICINE CHEST MEDICAL SUPPLY, INC.
Active
Organization
MEDICINE CHEST MEDICAL SUPPLY, INC.
Active
Other names
Economy Medicine Chest Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAYNE MCCORMACK RES THERAPIST (PRESIDENT)
(903) 962-4251
Entity
Organization
Contact information
Practice address
513 E GARLAND ST, GRAND SALINE, TX 75140-1984
(903) 962-4251
(903) 885-8734
Mailing address
411 MAIN ST, SULPHUR SPRINGS, TX 75482-2762
(903) 885-0821
(903) 885-8734
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Enumeration date
09/20/2006
Last updated
11/19/2008
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