Organization
COASTAL MEDICAL SUPPLY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISRAEL UDOCHUKWU OJIMADU (ADMINISTRATOR)
(919) 232-5270
Entity
Organization
Contact information
Practice address
3214 CHARLES B ROOT WYND STE 101, RALEIGH, NC 27612-5440
(919) 881-0279
(919) 881-0279
Mailing address
3214 CHARLES B ROOT WYND STE 101, RALEIGH, NC 27612-5440
(919) 881-0279
(919) 881-0279
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NC
Other
Enumeration date
07/24/2006
Last updated
11/06/2007
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