# COPD STORE INC

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

## Provider details

- **NPI number:** 1699257717
- **Authorized official:** CALEB UMSTEAD (CEO)
- **Authorized official phone:** (800) 520-5726

## Contact information

- **Practice address:** 2140 SW MAIN BLVD, LAKE CITY, FL 32025-0027
- **Practice address phone:** (800) 269-0722
- **Mailing address:** PO BOX 496, LAKE CITY, FL 32056-0496
- **Mailing address phone:** (800) 269-0722

## Taxonomy

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

## Other

- **Enumeration date:** 09/05/2018
- **Last updated:** 09/05/2018