Organization
UNIVERSAL DISTRIBUTORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES GILLESPIE JR. (PRESIDENT/CEO)
(704) 723-9662
Entity
Organization
Contact information
Practice address
1101 TYVOLA RD, SUITE 321, CHARLOTTE, NC 28217-3515
(704) 277-3135
(800) 851-3009
Mailing address
1101 TYVOLA RD, SUITE 321, CHARLOTTE, NC 28217-3515
(704) 277-3135
(800) 851-3009
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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