Organization
MEDICAL SHOPPE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL MICHELLE BURGETT (VICE PRESIDENT)
(740) 446-2206
Entity
Organization
Contact information
Practice address
101 JACKSON PIKE, GALLIPOLIS, OH 45631
(740) 446-2206
(740) 446-3509
Mailing address
101 JACKSON PIKE, GALLIPOLIS, OH 45631-1542
(740) 446-2206
(740) 446-3509
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0329782
—
OH
Enumeration date
10/31/2006
Last updated
10/13/2011
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