Organization
KHADIJAH KREATIONS
Active
Other names
Coventry Medical Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
KHADIJAH MOORE DME PROVIDER (OWNER)
(484) 649-6575
Entity
Organization
Contact information
Practice address
351 W SCHUYLKILL RD STE B2, POTTSTOWN, PA 19465-9639
(267) 241-2213
Mailing address
351 W SCHUYLKILL RD STE B2, POTTSTOWN, PA 19465-9639
(267) 241-2213
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
05/08/2025
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