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Organization

RICHEY FAS LLC

Active
Other names
Richey and Company Shoes
Organization subpart
No

Provider details

NPI number
Authorized official
BRETT R RICHEY (PRESIDENT)
(434) 975-5434
Entity
Organization

Contact information

Practice address
443 DANIELS ST, RALEIGH, NC 27605-1359
(919) 833-4484
(919) 833-4648
Mailing address
1411 SACHEM PL, SUITE 3, CHARLOTTESVILLE, VA 22901-2556
(434) 975-5434
(434) 975-0081

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7703854
NC
Enumeration date
10/24/2006
Last updated
01/03/2017
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