Organization
CULPEPPER HARRELL, INC
Active
Other names
Your Home Medical Prescription Shop
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATTY D LONG (VP)
(386) 698-3737
Entity
Organization
Contact information
Practice address
610 ZEAGLER DR, PALATKA, FL 32177-3811
(386) 325-2096
(386) 312-0466
Mailing address
610 ZEAGLER DR, PALATKA, FL 32177-3811
(386) 325-2096
(386) 312-0466
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PH6820
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R9807
BCBS
FL
Enumeration date
01/31/2007
Last updated
10/31/2007
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