Organization
WILMINGTON MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY B HENDRIX (CFO)
(405) 443-2985
Entity
Organization
Contact information
Practice address
5815 OLEANDER DR APT 310, WILMINGTON, NC 28403-4853
(910) 392-5553
(910) 251-0897
Mailing address
8516 NW EXPRESSWAY, OKLAHOMA CITY, OK 73162-6010
(405) 443-2985
(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
—
0825710001
—
NC
05
—
1972516144
—
NC
Enumeration date
05/23/2006
Last updated
05/18/2022
Update your record
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