Organization
THE UNIFORM SHOP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LOUISE RASNICK (PRESIDENT)
(256) 764-8422
Entity
Organization
Contact information
Practice address
203 N COURT ST, FLORENCE, AL 35630-4735
(256) 764-8422
(256) 764-8436
Mailing address
203 N COURT ST, FLORENCE, AL 35630-4735
(256) 764-8422
(256) 764-8436
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51053939
BC/BS OF ALA
—
01
—
57259
BC/BS OF TN
—
Enumeration date
09/29/2005
Last updated
08/22/2020
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