Provider Demographics
NPI:1982835856
Name:ABSORBENT SPECIALTY PRODUCTS LLC
Entity Type:Organization
Organization Name:ABSORBENT SPECIALTY PRODUCTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:DANCER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-722-1177
Mailing Address - Street 1:413 CENTRAL AVE STE 10
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02861-1967
Mailing Address - Country:US
Mailing Address - Phone:401-722-1177
Mailing Address - Fax:401-722-1160
Practice Address - Street 1:413 CENTRAL AVE STE 10
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02861-1967
Practice Address - Country:US
Practice Address - Phone:401-722-1177
Practice Address - Fax:401-722-1160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-27
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336M0002XSuppliersPharmacyMail Order Pharmacy