Organization
OXYGEN PLUS CORP
Active
Other names
OXYGEN PLUS CORP
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA WHITE (PRESIDENT)
(931) 728-0028
Entity
Organization
Contact information
Practice address
900 MCARTHUR ST, MANCHESTER, TN 37355-2326
(931) 728-0028
(931) 728-0089
Mailing address
900 MCARTHUR ST, MANCHESTER, TN 37355-2326
(931) 728-0028
(931) 728-0089
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
001961
TN
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
001961
TN
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
0000003868
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00743
HEALTH CARE FACILITIES
TN
01
—
01961
BOARD OF PHARMACY
TN
01
—
0555
BOARD OF PHARMACY
NC
01
—
10133
BOARD OF PHARMACY
SC
01
—
10543/11.1
MEDICAL EQUIPMENT SUPPLIER
MS
05
—
1454268
—
TN
01
—
15495
CARECENTRIX
—
01
—
4057101
BCBS
—
01
—
4439089
NCPDP PROVIDER IDENTIFICATION NUMBER
—
01
—
57406
HOME MEDICAL DEVICE RETAIL REGISTRATION
CA
01
—
82113751714
PHARMACY CLASS E
UT
01
—
DME18077
DURABLE MEDICAL EQUIPMENT
ID
01
—
MP00945
BOARD OF PHARMACY MEDICAL DEVICES, EQUIPMENT, GAS
NV
Enumeration date
08/29/2005
Last updated
03/28/2012
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