| NPI | 1417358334 |
|---|---|
| Doing Business As | MEDICAL DEPARTMENT STORE |
| Entity Type | Organization |
| Authorized Contact | KEVIN WILLIAM MCCORD General Manager 941-584-6154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |