Organization
CITY DRUG MEDICAL EQUIPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT SCOTT LASTER RRT (ADMINISTRATOR)
(731) 989-7002
Entity
Organization
Contact information
Practice address
110 S WASHINGTON AVE, HENDERSON, TN 38340-2322
(731) 989-7002
(731) 989-9685
Mailing address
110 S WASHINGTON AVE, HENDERSON, TN 38340-2322
(731) 989-7002
(731) 989-9685
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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