Organization
COPD STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALEB UMSTEAD (CEO)
(800) 520-5726
Entity
Organization
Contact information
Practice address
2140 SW MAIN BLVD, LAKE CITY, FL 32025-0027
(800) 269-0722
Mailing address
PO BOX 496, LAKE CITY, FL 32056-0496
(800) 269-0722
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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