Organization
THE MEDICAL STORE INC
Active
Organization
THE MEDICAL STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBBIN A MCKEE (OWNER/CEO)
(251) 769-6414
Entity
Organization
Contact information
Practice address
1201 COLLEGE AVE STE B, JACKSON, AL 36545-2406
(251) 246-0444
(251) 246-7754
Mailing address
1201 COLLEGE AVE STE B, JACKSON, AL 36545-2406
(251) 246-0444
(251) 246-7544
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000056488
—
AL
05
—
0040362
—
MS
01
—
51056488
BCBS PROV #
AL
Enumeration date
07/21/2006
Last updated
11/12/2020
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