Organization · Type 2 NPI

Carols Personal Mastectomy Boutique

Durable Medical Equipment & Medical Supplies · Salt Lake City, UT

NPI number 1356522304 Active

Practice location

3165 S Main St
Salt Lake City, UT 84115-3748

Call (801) 483-1262 Map

Fax (801) 483-1287

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000X1744P3200X (UT)

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.

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About NPI 1356522304

Carols Personal Mastectomy Boutique's National Provider Identifier is 1356522304, issued on Nov 19, 2007. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 28, 2011.