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Organization

MYHEALTHSTORES LLC

Active
Other names
UrostomyDirect
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN KENNETH RODRIGUEZ (PRESIDENT)
(706) 496-3923
Entity
Organization

Contact information

Practice address
4416 COLUMBIA RD, SUITE 100, MARTINEZ, GA 30907-4575
(706) 496-3923
Mailing address
4416 COLUMBIA RD, SUITE 100, MARTINEZ, GA 30907-4575
(706) 496-3923

Taxonomy

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

Other

Enumeration date
09/22/2015
Last updated
04/27/2016
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