Healthcare Provider Details

I. General information

NPI: 1477500924
Provider Name (Legal Business Name): ROYAL MEDICAL SUPPLY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 08/10/2021
Certification Date: 08/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 MILL RD SUITE A120
PHOENIXVILLE PA
19460-1413
US

IV. Provider business mailing address

220 W GERMANTOWN PIKE STE 250
PLYMOUTH MEETING PA
19462-1437
US

V. Phone/Fax

Practice location:
  • Phone: 610-705-9292
  • Fax: 610-705-9777
Mailing address:
  • Phone: 610-630-6357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number3000007437
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number3000007437
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number3000007437
License Number StatePA

VIII. Authorized Official

Name: MR. STEPHEN GRIGGS JR.
Title or Position: CEO
Credential:
Phone: 610-630-6357