Organization
TOP CHOICE DME SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMERA BUTLER LPN (OWNER)
(215) 792-6884
Entity
Organization
Contact information
Practice address
8725 FRANKFORD AVE, PHILADELPHIA, PA 19136-2126
(215) 792-6884
Mailing address
8725 FRANKFORD AVE, PHILADELPHIA, PA 19136-2126
(215) 792-6884
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6000010565
DRUG AND DEVICE REGISTRATION
PA
Enumeration date
03/02/2023
Last updated
03/02/2023
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