Organization
ST AUGUSTINE MEDICAL SUPPLY AND EMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTINE EMENIKE OKOYE (MANAGER)
(401) 722-4477
Entity
Organization
Contact information
Practice address
146 BROAD STREET, PAWTUCKET, RI 02860-2052
(401) 722-4477
(401) 722-4499
Mailing address
146 BROAD STREET, PAWTUCKET, RI 02860-2052
(401) 722-4477
(401) 722-4499
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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