Organization · Type 2 NPI

Mastectomy Shoppe, LLC

Durable Medical Equipment & Medical Supplies · Indian Land, SC

NPI number 1922763150 Active

Practice location

9700 Redstone Dr Ste 200
Indian Land, SC 29707-5409

Fax (803) 548-8630

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone 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.

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About NPI 1922763150

Mastectomy Shoppe, LLC's National Provider Identifier is 1922763150, issued on Nov 2, 2021. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Indian Land, SC. The record was last updated on Mar 31, 2022.