Organization
THE MEDICAL STORE, INC.
Active
Other names
The Medical Store, Inc./Philadelphia
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BUTLER (CFO)
(601) 703-9987
Entity
Organization
Contact information
Practice address
210 CANAL PL, PHILADELPHIA, MS 39350-8909
(601) 676-0081
Mailing address
PO BOX 5502, MERIDIAN, MS 39302-5502
(601) 676-0081
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
04/21/2022
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