Healthcare Provider Details

I. General information

NPI: 1477980225
Provider Name (Legal Business Name): DISCOUNTED MEDICAL SUPPLIES AND EQUIPMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2013
Last Update Date: 10/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 LIBERTY LN
LAURENS SC
29360-2329
US

IV. Provider business mailing address

1 LIBERTY LN
LAURENS SC
29360-2329
US

V. Phone/Fax

Practice location:
  • Phone: 864-981-5081
  • Fax:
Mailing address:
  • Phone: 864-981-5081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335G00000X
TaxonomyMedical Foods Supplier
License Number
License Number State

VIII. Authorized Official

Name: TONY B. RICHARD
Title or Position: CO-OWNER
Credential:
Phone: 864-981-5081