Organization
RICHMOND RESPIRATORY & MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE BERRY CAMPBELL RRT (OWNER/CEO)
(804) 745-9677
Entity
Organization
Contact information
Practice address
1108 COURTHOUSE RD, SUITE D, NORTH CHESTERFIELD, VA 23236-3197
(804) 745-9677
(804) 745-8865
Mailing address
1108 COURTHOUSE RD, SUITE D, NORTH CHESTERFIELD, VA 23236-3197
(804) 745-9677
(804) 745-8865
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090379
ANTHEM
VA
05
—
9109811
—
VA
Enumeration date
12/29/2005
Last updated
04/13/2016
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