Organization
MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ANTHONY EUBANKS SR. (OWNER)
(334) 886-9111
Entity
Organization
Contact information
Practice address
135 S DALTON ST, SLOCOMB, AL 36375-5483
(334) 886-9111
(334) 886-9255
Mailing address
135 S DALTON ST, P.O. BOX 580, SLOCOMB, AL 36375-5483
(334) 886-9111
(334) 886-9255
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
129
AL
332BX2000X
Oxygen Equipment & Supplies (DME)
129
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51034246
BLUE CROSS BLUE SHIELD
AL
Enumeration date
08/27/2007
Last updated
08/27/2007
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