Organization
DEEP SOUTH HOME MEDICAL EQUIPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY TODD FLOURNOY (MANAGING OFFICIAL)
(334) 671-9484
Entity
Organization
Contact information
Practice address
229 SUNRISE LANE, MALVERN, AL 36349
(334) 671-9484
Mailing address
229 SUNRISE LANE, MALVERN, AL 36349
(334) 671-9484
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
065463
AL
Other
Enumeration date
01/26/2006
Last updated
11/09/2007
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