Organization
ACTION MEDICAL SUPPLY, LLC
Active
Parent organization
ROACH ENTERPRISES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROACH ENTERPRISES, INC
Authorized official
DONNI JOE ROACH P.D. (PRESIDENT)
(870) 358-2484
Entity
Organization
Contact information
Practice address
109 HIGHWAY 463 S, TRUMANN, AR 72472-2604
(870) 483-6959
Mailing address
109 HIGHWAY 463 S, TRUMANN, AR 72472-2604
(870) 483-6959
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MG00006
AR
Other
Enumeration date
08/15/2007
Last updated
03/14/2008
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