Provider Demographics
NPI:1659767614
Name:AAA MEDICAL SUPPLY
Entity Type:Organization
Organization Name:AAA MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:AKABUEZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-399-5307
Mailing Address - Street 1:3308 DURHAM CHAPEL HILL BLVD
Mailing Address - Street 2:SUITE 125
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-2694
Mailing Address - Country:US
Mailing Address - Phone:919-399-5307
Mailing Address - Fax:919-680-3446
Practice Address - Street 1:3308 DURHAM CHAPEL HILL BLVD
Practice Address - Street 2:SUITE 125
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2694
Practice Address - Country:US
Practice Address - Phone:919-399-5307
Practice Address - Fax:919-680-3446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-07
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC02265332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies