Organization
ALPHA N-MEDICAL EQUIPMENT & SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO LEATHA PETERSON (PRESIDENT)
(910) 674-3408
Entity
Organization
Contact information
Practice address
103 W 26TH ST, LUMBERTON, NC 28358-3617
(910) 674-3408
(910) 674-4343
Mailing address
103 W 26TH ST, LUMBERTON, NC 28358-3617
(910) 674-3408
(910) 674-4343
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01646
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01646
NORTH CAROLINA BOARD OF PHARMACY
NC
Enumeration date
05/06/2010
Last updated
05/06/2010
Update your record
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