Organization
SHOE FLY SHOE, INC.
Active
Other names
Irving's Shoe Fly
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD LEWIS (OWNER)
(814) 684-6040
Entity
Organization
Contact information
Practice address
RT 22 & COLONIAL RD, COLONIAL PARK MALL/IRVINGS SHOE FLY, HARRISBURG, PA 17109
(717) 671-0970
(717) 671-0973
Mailing address
RT 22 & COLONIAL RD, COLONIAL PARK MALL/IRVINGS SHOE FLY, HARRISBURG, PA 17109
(717) 671-0970
(717) 671-0973
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20485
PA
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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