# MEDICINE CHEST MEDICAL SUPPLY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Economy Medicine Chest Medical Equipment
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194822478
- **Authorized official:** MR. DWAYNE MCCORMACK RES THERAPIST (PRESIDENT)
- **Authorized official phone:** (903) 962-4251

## Contact information

- **Practice address:** 513 E GARLAND ST, GRAND SALINE, TX 75140-1984
- **Practice address phone:** (903) 962-4251
- **Practice address fax:** (903) 885-8734
- **Mailing address:** 411 MAIN ST, SULPHUR SPRINGS, TX 75482-2762
- **Mailing address phone:** (903) 885-0821
- **Mailing address fax:** (903) 885-8734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 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