Organization
HALCYON SUPPLY CO., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS MCWHORTER FELTHAM (OWNER)
(803) 637-0622
Entity
Organization
Contact information
Practice address
456 BUNCOMBE ST, EDGEFIELD, SC 29824-1013
(803) 637-0622
(803) 637-0622
Mailing address
456 BUNCOMBE ST, EDGEFIELD, SC 29824-1013
(803) 637-0622
(803) 637-0622
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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