Organization · Type 2 NPI
Mack Moore Shoes
Durable Medical Equipment & Medical Supplies · Charleston, IL
NPI number
1235341173
Active
Practice location
305 W Lincoln Ave
Charleston, IL 61920-3020
Fax (217) 345-7463
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
About NPI 1235341173
Mack Moore Shoes's National Provider Identifier is 1235341173, issued on May 4, 2007. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Charleston, IL. The record was last updated on Aug 22, 2020.