Organization
CHARLESTON MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZEESHAN HAQ (ADMINISTRATOR)
(304) 693-2754
Entity
Organization
Contact information
Practice address
3501 MACCORKLE AVE SE, CHARLESTON, WV 25304-1419
(304) 693-2754
(844) 367-0015
Mailing address
3501 MACCORKLE AVE SE, CHARLESTON, WV 25304-1419
(304) 693-2754
(844) 367-0015
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
04/12/2017
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