Organization
C&P MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORNELUIS MATHEWS (CEO)
(405) 465-6750
Entity
Organization
Contact information
Practice address
5617 SE 67TH ST, OKLAHOMA CITY, OK 73135-1725
(405) 465-6750
Mailing address
PO BOX 6246, MOORE, OK 73153-0246
(405) 465-6750
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/25/2016
Last updated
11/09/2016
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