Organization
PALMETTO MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANAHIT KHACHATRIAN (PRESIDENT)
(803) 665-1301
Entity
Organization
Contact information
Practice address
1904 ACADEMY ST UNIT C, COLUMBIA, SC 29203-6958
(803) 665-1301
(803) 407-0534
Mailing address
1904 ACADEMY ST UNIT C, COLUMBIA, SC 29203-6958
(803) 665-1301
(803) 407-0534
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1034789
ACM
SC
05
—
DE3042
—
SC
Enumeration date
10/01/2007
Last updated
06/16/2008
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