Organization
PINK REGALIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANY SMATHERS (OWNER)
(828) 506-9591
Entity
Organization
Contact information
Practice address
452 HAZELWOOD AVE, WAYNESVILLE, NC 28786-1946
(828) 454-1004
(828) 454-1003
Mailing address
PO BOX 1362, CLYDE, NC 28721-1362
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7705309
—
NC
Enumeration date
06/29/2010
Last updated
05/10/2017
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