Organization
HOME MED STORE
Active
Organization
HOME MED STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM FLOYD (OWNER)
(757) 855-6191
Entity
Organization
Contact information
Practice address
3868 CHATHAM CIR, NORFOLK, VA 23513-3445
(757) 855-6191
Mailing address
3868 CHATHAM CIR, NORFOLK, VA 23513-3445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLIED FOR
—
VA
Enumeration date
09/18/2007
Last updated
10/31/2007
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