Organization
TUSCALOOSA SUPPLY COMPANY, INC
Active
Other names
Tuscaloosa Supply Company, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY HAJEK (OWNER)
(205) 394-6917
Entity
Organization
Contact information
Practice address
6130 OLD GREENSBORO RD, TUSCALOOSA, AL 35405-5923
(205) 394-6917
(205) 278-6748
Mailing address
6130 OLD GREENSBORO RD, TUSCALOOSA, AL 35405-5923
(205) 394-6917
(205) 278-6748
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51218214
BLUE CROSS / BLUE SHIELD
AL
Enumeration date
09/09/2019
Last updated
09/09/2019
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