Organization
MEDICAL SUPPLY SUPERSTORE AT CHATHAM CROSSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN COONS (MANAGER)
(919) 220-0740
Entity
Organization
Contact information
Practice address
11312 US 15-501 NORTH, SUITE 306, CHAPEL HILL, NC 27517
(919) 960-8100
Mailing address
11312 US 15-501 NORTH, SUITE 306, CHAPEL HILL, NC 27517
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00481
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7703100
—
NC
Enumeration date
03/27/2007
Last updated
08/22/2020
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