Provider Demographics
NPI:1891995171
Name:THE DURABLE MEDICAL EQUIPMENT STORE INC
Entity Type:Organization
Organization Name:THE DURABLE MEDICAL EQUIPMENT STORE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHEAL
Authorized Official - Middle Name:B
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-323-9441
Mailing Address - Street 1:2600 POPLAR AVE STE 6A
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38112-3854
Mailing Address - Country:US
Mailing Address - Phone:901-323-9441
Mailing Address - Fax:901-323-9442
Practice Address - Street 1:2600 POPLAR AVE STE 6A
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38112-3854
Practice Address - Country:US
Practice Address - Phone:901-323-9441
Practice Address - Fax:901-323-9442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies