Organization
MED PHARMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEO M BULLOCK IV (PRESIDENT / MANAGING MEMBER)
(334) 791-2799
Entity
Organization
Contact information
Practice address
6908 BEACH DR, PANAMA CITY BEACH, FL 32408-6023
(334) 791-2799
(850) 249-4895
Mailing address
6908 BEACH DR, PANAMA CITY BEACH, FL 32408-6023
(334) 791-2799
(850) 249-4895
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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