Organization
THE OTHER SIDE HOME HEALTH EQUIPMENT AND SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEANA CHALIGOJ (OWNER)
(573) 785-4300
Entity
Organization
Contact information
Practice address
909 W PINE ST, POPLAR BLUFF, MO 63901-4958
(573) 785-4300
Mailing address
909 W PINE ST, POPLAR BLUFF, MO 63901-4958
(573) 785-4300
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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