Provider Demographics
NPI:1073755351
Name:CLURE BROTHERS FURNITURE
Entity Type:Organization
Organization Name:CLURE BROTHERS FURNITURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:B
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-721-0100
Mailing Address - Street 1:509 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82070-3615
Mailing Address - Country:US
Mailing Address - Phone:307-721-0100
Mailing Address - Fax:307-721-0102
Practice Address - Street 1:509 S 2ND ST
Practice Address - Street 2:
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82070-3615
Practice Address - Country:US
Practice Address - Phone:307-721-0100
Practice Address - Fax:307-721-0102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies