Organization
COMPLETE PATIENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA G STOUDENMIRE (OWNER)
(251) 460-0300
Entity
Organization
Contact information
Practice address
4333 BOULEVARD PARK N, MOBILE, AL 36609-3422
(251) 460-0300
(251) 460-0304
Mailing address
4333 BOULEVARD PARK N, MOBILE, AL 36609-3422
(251) 460-0300
(251) 460-0304
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2005-009446
AL
332B00000X
Durable Medical Equipment & Medical Supplies
4900 41002
AL
333600000X
Pharmacy
Primary
111212
AL
333600000X
Pharmacy
200547
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440573
—
ME
05
—
009927290
—
AL
05
—
100002966
—
AL
Enumeration date
06/13/2005
Last updated
04/09/2011
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