Organization
CROCKETT DISTRIBUTORS
Active
Other names
Special You DBA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FRANCIS LOU CROCKETT (OWNER)
(270) 965-2682
Entity
Organization
Contact information
Practice address
107 N CLAY ST, MARION, KY 42064-1474
(270) 965-2682
Mailing address
107 N CLAY ST, MARION, KY 42064-1474
(270) 965-2682
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90002981
—
KY
Enumeration date
05/24/2007
Last updated
06/25/2008
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