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Organization
DEEP SOUTH HOME MEDICAL EQUIPMENT, INC
Active
Organization
DEEP SOUTH HOME MEDICAL EQUIPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY TODD FLOURNOY (MANAGING OFFICIAL)
(334) 671-9484
Entity
Organization
Contact information
Practice address
229 SUNRISE LANE, MALVERN, AL 36349
(334) 671-9484
Mailing address
229 SUNRISE LANE, MALVERN, AL 36349
(334) 671-9484
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
065463
AL
Other
Enumeration date
01/26/2006
Last updated
11/09/2007
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