Organization
POSTURE STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBETH BUITRAGO (CEO/DIRECTOR)
(501) 505-4008
Entity
Organization
Contact information
Practice address
3900 DAVE WARD DR., SUITE 1900-130, CONWAY, AR 72032
(501) 505-4008
(501) 764-4268
Mailing address
3900 DAVE WARD DR., SUITE 1900-130, CONWAY, AR 72032
(501) 505-4008
(501) 764-4268
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/09/2016
Last updated
05/09/2018
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