Organization
PREMIUM MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZINAIDA GORYACHEVA (OWNER)
(803) 666-0077
Entity
Organization
Contact information
Practice address
1565 EBENEZER RD, STE 106, ROCK HILL, SC 29732
(803) 666-0077
Mailing address
1565 EBENEZER RD, STE 106, ROCK HILL, SC 29732
(803) 620-4482
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/26/2018
Last updated
01/15/2020
About Stedi
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