Provider Demographics
NPI:1508882895
Name:ROYAL BEAUTY & MEDICAL SUPPLY COMPANY
Entity Type:Organization
Organization Name:ROYAL BEAUTY & MEDICAL SUPPLY COMPANY
Other - Org Name:RJB LIMITED
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROXANNE
Authorized Official - Middle Name:JORDAN
Authorized Official - Last Name:BARGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-334-6162
Mailing Address - Street 1:1732 S BROAD ST
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19145-2321
Mailing Address - Country:US
Mailing Address - Phone:215-334-6162
Mailing Address - Fax:215-334-6180
Practice Address - Street 1:1732 S BROAD ST
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-2321
Practice Address - Country:US
Practice Address - Phone:215-334-6162
Practice Address - Fax:215-334-6180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies