| NPI | 1013064013 |
|---|---|
| Doing Business As | THE OSTOMY SHOPPE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM WITTY ADKINS Owner Sole Proprietor 864-233-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2010-04-15 |