| NPI | 1306825005 |
|---|---|
| Doing Business As | CLOVER'S MASTECTOMY AND MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | JASON ALEXANDER President 919-812-4557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 00131) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2019-12-19 |