NPI | 1043244031 |
---|---|
Doing Business As | THE FOOT STORE |
Entity Type | Organization |
Authorized Contact | CAROLYN ROBERTA VARNDELL Owner 843-849-1108 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-07-10 |
Last Update Date | 2020-08-22 |