| NPI | 1205837291 |
|---|---|
| Doing Business As | THE PROFILE SHOP |
| Entity Type | Organization |
| Authorized Contact | HEATHER D. MCCLURE Vice President 215-633-3461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 6000005802) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2018-03-27 |