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Organization
MED SHOP TOTAL CARE, INC
Active
Organization
MED SHOP TOTAL CARE, INC
Active
Other names
Med Shop Medical Depot
Organization subpart
No
Provider details
NPI number
Authorized official
JAN DOWNING RN (VICE PRESIDENT)
(903) 236-0090
Entity
Organization
Contact information
Practice address
1071 HWY 271 NORTH, SUITE 103, GILMER, TX 75644-3560
(903) 843-5687
(903) 843-5689
Mailing address
PO BOX 927, GILMER, TX 75644-0927
(903) 849-5687
(903) 843-5689
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0043246
TX
Other
Enumeration date
08/31/2006
Last updated
08/22/2022
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