Provider Demographics
NPI:1669168597
Name:RJ MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:RJ MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EHIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-599-1600
Mailing Address - Street 1:941 LEHMAN AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-4929
Mailing Address - Country:US
Mailing Address - Phone:270-599-1600
Mailing Address - Fax:270-599-1601
Practice Address - Street 1:941 LEHMAN AVE STE 102
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-4929
Practice Address - Country:US
Practice Address - Phone:270-599-1600
Practice Address - Fax:270-599-1601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies