Provider Demographics
NPI:1720776941
Name:ROSES MEDICAL SUPPLY AND SALES INC.
Entity Type:Organization
Organization Name:ROSES MEDICAL SUPPLY AND SALES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EMEKA
Authorized Official - Middle Name:KINGSLEY
Authorized Official - Last Name:EZE
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:919-667-7647
Mailing Address - Street 1:5315 PAGEFORD DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-5877
Mailing Address - Country:US
Mailing Address - Phone:919-667-7647
Mailing Address - Fax:
Practice Address - Street 1:5315 PAGEFORD DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-5877
Practice Address - Country:US
Practice Address - Phone:919-667-7647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies