Organization
MEDICINE CHEST MEDICAL SUPPLY, INC.
Active
Other names
Economy Medicine Chest Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAYNE MCCORMACK RES THERAPIST (PRESIDENT)
(903) 962-4251
Entity
Organization
Contact information
Practice address
513 E GARLAND ST, GRAND SALINE, TX 75140-1984
(903) 962-4251
(903) 885-8734
Mailing address
411 MAIN ST, SULPHUR SPRINGS, TX 75482-2762
(903) 885-0821
(903) 885-8734
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194822478
NPI
TX
01
—
185109901
TPI
TX
01
—
185109902
TPI
TX
Enumeration date
09/20/2006
Last updated
11/19/2008
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