Organization
STATES MEDICAL PRODUCTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NNENNA CORNETT (CEO/DIRECTOR)
(919) 603-6904
Entity
Organization
Contact information
Practice address
911 LINDEN AVE, SUITE 115, OXFORD, NC 27565-3652
(919) 603-6904
(919) 603-6905
Mailing address
911 LINDEN AVE, SUITE 115, OXFORD, NC 27565-3652
(919) 603-6904
(919) 603-6905
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01335
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01335
NC BOARD OF PHARMACY
NC
Enumeration date
09/04/2007
Last updated
02/02/2009
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