Organization
FAMILY MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN GRIGGS (CEO)
(407) 206-0040
Entity
Organization
Contact information
Practice address
2005 W CUMBERLAND ST, SUITE 200, DUNN, NC 28334-4447
(910) 892-7113
(910) 892-8166
Mailing address
220 W GERMANTOWN PIKE STE 250, PLYMOUTH MEETING, PA 19462-1437
(610) 630-6357
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
08399
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0490T
BCBS PROVIDER NUMBER
NC
Enumeration date
09/25/2006
Last updated
09/23/2021
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