Organization
BUNDLE BOOSTERS RX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALEXIS BAXTER (OWNER)
(267) 349-1349
Entity
Organization
Contact information
Practice address
6901 THEODORE ST, PHILADELPHIA, PA 19142-2106
(267) 349-1349
Mailing address
6924 WAXWING PL, PHILADELPHIA, PA 19142-2514
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
05/19/2021
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