| NPI | 1750015913 |
|---|---|
| Former Legal Business Name | DOVE MEDICAL SUPPLY RETAIL LLC |
| Entity Type | Organization |
| Authorized Contact | ANNEN ELIZABETH SOUTHERLAND Director Of Procurement 336-971-5890 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2022-07-13 |