Organization
SOUTHERM MEDICAL AND EQUIPMENT SALES, L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD TERRY (PRESIDENT)
(252) 568-9945
Entity
Organization
Contact information
Practice address
4459 TARHEEL DRIVE, SUITE D, PINK HILL, NC 28572
(252) 568-9945
(252) 568-3923
Mailing address
4459 TARHEEL DRIVE, SUITE D, PINK HILL, NC 28572
(252) 568-9945
(252) 568-3923
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01118
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01118
BOARD OF PHARMACY LIC
NC
05
—
7704728
—
NC
Enumeration date
09/20/2006
Last updated
03/31/2008
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