Organization
R J AND R MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE KAY BRAGG (PRESIDENT)
(318) 715-1177
Entity
Organization
Contact information
Practice address
818 MAIN ST, SUITE B, PINEVILLE, LA 71360-6409
(318) 709-5631
Mailing address
818 MAIN ST, SUITE B, PINEVILLE, LA 71360-6409
(318) 709-5631
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2810779004
LA
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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