Provider Demographics
NPI:1972730620
Name:ASTRIX MEDICAL SUPPLIES
Entity type:Organization
Organization Name:ASTRIX MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:F
Authorized Official - Middle Name:DAMIEL
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-897-4335
Mailing Address - Street 1:241 E GERMAN SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23224-1460
Mailing Address - Country:US
Mailing Address - Phone:804-897-4335
Mailing Address - Fax:804-482-2944
Practice Address - Street 1:241 E GERMAN SCHOOL RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-1460
Practice Address - Country:US
Practice Address - Phone:804-897-4335
Practice Address - Fax:804-482-2944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-19
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6394820001Medicare NSC