Organization
PRIME MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EPHRAIM OKPARA (OFFICE ADMINISTRAOR)
(919) 332-3814
Entity
Organization
Contact information
Practice address
2949 NEW BERN AVE STE 106A, RALEIGH, NC 27610-1249
(919) 332-3814
(919) 703-0188
Mailing address
2949 NEW BERN AVE STE 106A, RALEIGH, NC 27610-1249
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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