Provider Demographics
NPI:1891972873
Name:KAROLINAS MEDICAL SUPPLY
Entity Type:Organization
Organization Name:KAROLINAS MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUVERNAL
Authorized Official - Middle Name:O
Authorized Official - Last Name:OGBUNEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-562-9452
Mailing Address - Street 1:6218 IDLEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-4731
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5624 EXECUTIVE CENTER DR
Practice Address - Street 2:SUITE 125
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-8832
Practice Address - Country:US
Practice Address - Phone:704-562-9452
Practice Address - Fax:704-562-9452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies