| NPI | 1821014101 |
|---|---|
| Doing Business As | THE COMPANY STORE |
| Entity Type | Organization |
| Authorized Contact | JOSEPH D LAVELLE CEO 478-633-1452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |