Organization
UNIQUE BOUTIQUE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MARIE KUCHARSKI-NELSON (MANAGER)
(704) 900-9589
Entity
Organization
Contact information
Practice address
200 MEDICAL PARK DR STE 145, CONCORD, NC 28025-0928
(980) 248-1897
(980) 248-1899
Mailing address
200 MEDICAL PARK DR STE 145, CONCORD, NC 28025-0928
(980) 248-1897
(980) 248-1899
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
04/24/2019
Last updated
07/01/2024
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