Organization
STAR WHOLESALERS LLC
Active
Other names
Easy Life Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAN THAKARE (MANAGER)
(404) 906-6722
Entity
Organization
Contact information
Practice address
4295 AUGUSTA RD, SUITE 901, GREENVILLE, SC 29605-1320
(404) 906-6722
Mailing address
4295 AUGUSTA RD, SUITE 901, GREENVILLE, SC 29605-1320
(404) 906-6722
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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