Organization
MEDICINE CHEST MEDICAL SUPPLY, INC.
Active
Other names
MEDICINE CHEST MEDICAL SUPPLY OF MT. VERNON
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE K WEAVER RPH (PARTNER)
(903) 885-0821
Entity
Organization
Contact information
Practice address
623 W RUTHERFORD ST, MT VERNON, TX 75457-3105
(903) 537-3015
(903) 885-8734
Mailing address
411 MAIN ST, ATTN: APRIL, SULPHUR SPRINGS, TX 75482-2762
(903) 885-0821
(903) 885-8734
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255523122
NPI
TX
01
—
190334601
TPI
TX
01
—
190334602
TPI
TX
Enumeration date
08/15/2007
Last updated
11/19/2008
Update your record
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