Organization
MAJESTIC MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SELVARINE HARVEY (OWNER)
(225) 275-2168
Entity
Organization
Contact information
Practice address
15254 OLD HAMMOND HWY STE B3, BATON ROUGE, LA 70816-1275
(225) 275-2168
(225) 275-2169
Mailing address
15254 OLD HAMMOND HWY STE B3, BATON ROUGE, LA 70816-1275
(225) 275-2168
(225) 275-2169
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00880912
LA
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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