# CPAP STORE, INC

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

## Provider details

- **NPI number:** 1710947155
- **Authorized official:** MR. BRETT CARROLL ATP (PRESIDENT)
- **Authorized official phone:** (972) 480-0500

## Contact information

- **Practice address:** 777 N GROVE RD, STE 115, RICHARDSON, TX 75081-2760
- **Practice address phone:** (972) 480-0500
- **Practice address fax:** (972) 480-0501
- **Mailing address:** 777 N GROVE RD, STE 115, RICHARDSON, TX 75081-2760
- **Mailing address phone:** (972) 480-0500
- **Mailing address fax:** (972) 480-0501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0084058 | TX | Yes |

## Other

- **Enumeration date:** 03/27/2006
- **Last updated:** 09/28/2010