Provider Demographics
NPI:1144766437
Name:PIONEER VALLEY LUTHIER SUPPLY, INC
Entity Type:Organization
Organization Name:PIONEER VALLEY LUTHIER SUPPLY, INC
Other - Org Name:THE HAIR FACTORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MOFFETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-585-9666
Mailing Address - Street 1:2 CONZ ST
Mailing Address - Street 2:SUITE 20
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-4440
Mailing Address - Country:US
Mailing Address - Phone:413-585-9666
Mailing Address - Fax:
Practice Address - Street 1:2 CONZ ST
Practice Address - Street 2:SUITE 20
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-4440
Practice Address - Country:US
Practice Address - Phone:413-585-9666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies