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Organization

SOUTH SHORE MEDICAL SUPPLY, INC.

Active
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Organization

SOUTH SHORE MEDICAL SUPPLY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFERY B HENDRIX (CFO)
(877) 688-2729
Entity
Organization

Contact information

Practice address
58 NORFOLK AVE, UNIT # 2, SOUTH EASTON, MA 02375-1907
(508) 230-7272
(508) 230-7269
Mailing address
8516 NW EXPRESSWAY, OKLAHOMA CITY, OK 73162-6010
(877) 688-2729
(888) 718-0633

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110029448A
MA
05
3071420
NH
Enumeration date
12/23/2005
Last updated
05/18/2022
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