Organization
PAIN CARE STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAQIYY SALEEM (MANAGER)
(404) 391-4188
Entity
Organization
Contact information
Practice address
1836 SECOND AVE, DECATUR, GA 30032-3970
(404) 391-4188
Mailing address
1836 SECOND AVE, DECATUR, GA 30032-3970
(404) 391-4188
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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