Organization
OXY PAM II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA ELAINE COULTON DBE (OWNER)
(678) 851-8680
Entity
Organization
Contact information
Practice address
117 LEE ST, BECKLEY, WV 25801-6037
(678) 851-8680
Mailing address
117 LEE ST, BECKLEY, WV 25801-6037
(678) 851-8680
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/13/2020
Last updated
05/21/2020
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