Organization
COLOR ME PINK BOUTIQUE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FELICITE H THOMPSON CMF (OWNER)
(919) 419-7375
Entity
Organization
Contact information
Practice address
2404 NELSON HWY, CHAPEL HILL, NC 27517-8925
(919) 419-7375
(919) 493-1640
Mailing address
2404 NELSON HWY, CHAPEL HILL, NC 27517-8925
(919) 419-7375
(919) 493-1640
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046P7
BCBS SUPPLIER
NC
Enumeration date
09/15/2005
Last updated
02/04/2009
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