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Organization

MED HEALTH DEPOT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ELIZABETH PETERSON (MANAGER)
(318) 347-3807
Entity
Organization

Contact information

Practice address
6658 YOUREE DR, SUITE 180 #298, SHREVEPORT, LA 71105-4648
(318) 347-3807
Mailing address
6658 YOUREE DR, SUITE 180 #298, SHREVEPORT, LA 71105-4648

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
10/18/2012
Last updated
10/18/2012
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