Organization
MEDICAL SUPPLY DEPOT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANCE SHAE DRAINE (OWNER)
(901) 921-5030
Entity
Organization
Contact information
Practice address
2552 POPLAR AVE, SUITE 502, MEMPHIS, TN 38112-3852
(901) 921-5030
(901) 324-3350
Mailing address
2552 POPLAR AVE, SUITE 502, MEMPHIS, TN 38112-3852
(901) 921-5030
(901) 324-3350
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TN
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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