| NPI | 1407677172 |
|---|---|
| Doing Business As | COVENTRY MEDICAL BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | KHADIJAH MOORE Owner 484-649-6575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2025-05-08 |