Provider Demographics
NPI:1326274762
Name:QUALITY MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:QUALITY MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:DION
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-484-4119
Mailing Address - Street 1:4310 S. MIAMI BLVD.
Mailing Address - Street 2:SUITE 207
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703
Mailing Address - Country:US
Mailing Address - Phone:919-484-4119
Mailing Address - Fax:919-321-6110
Practice Address - Street 1:4310 S. MIAMI BLVD.
Practice Address - Street 2:SUITE 207
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703
Practice Address - Country:US
Practice Address - Phone:919-484-4119
Practice Address - Fax:919-321-6110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-29
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies