Organization
NICK'S DISCOUNT MEDICAL, LLC
Active
Other names
Nick's Discount Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL DAVID LILLY (CEO/ VP)
(804) 323-8271
Entity
Organization
Contact information
Practice address
201 N PINETTA DR, RICHMOND, VA 23235-4915
(804) 323-8271
(804) 323-9022
Mailing address
201 N PINETTA DR, RICHMOND, VA 23235-4915
(804) 323-8271
(804) 323-9022
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1199047
VA
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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