Organization
PROFILE SHOP, INC.
Active
Other names
The Profile Shop
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER D. MCCLURE CMF (VICE PRESIDENT)
(215) 633-3461
Entity
Organization
Contact information
Practice address
3300 TILLMAN DR, SUITE 105, BENSALEM, PA 19020-2071
(215) 633-3461
(215) 633-3567
Mailing address
3300 TILLMAN DR STE 101, BENSALEM, PA 19020-2071
(215) 633-3461
(215) 633-3567
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6000005802
PA
Other
Enumeration date
08/02/2005
Last updated
03/27/2018
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