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Organization

UNIQUE BOUTIQUE INC

Active
Parent organization
UNIQUE BOUTIQUE INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIQUE BOUTIQUE INC
Authorized official
MRS. MELISSA MARIE KUCHARSKI-NELSON (MANAGER)
(704) 377-4356
Entity
Organization

Contact information

Practice address
4830 MONROE RD STE A, CHARLOTTE, NC 28205-7856
(704) 377-4356
Mailing address
4830 MONROE RD STE A, CHARLOTTE, NC 28205-7856
(704) 377-4356
(704) 377-9361

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
006051877
NC
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
09/23/2009
Last updated
07/10/2024
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