MEDICARE: ROYAL BEAUTY & MEDICAL SUPPLY COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		PA

General Provider Information

NPI Number	:	1508882895
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYAL BEAUTY & MEDICAL SUPPLY COMPANY

Provider Business Mailing Address
First Line	:	1732 S BROAD ST
Second Line	:	FIRST FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-2321
Country	:	US
Telephone Number	:	215-334-6162
Fax Number	:	215-334-6180

Provider Business Practice Location Address
First Line	:	1732 S BROAD ST
Second Line	:	FIRST FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-2321
Country	:	US
Telephone Number	:	215-334-6162
Fax Number	:	215-334-6180

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MS. ROXANNE JORDAN BARGER
Credential	:
Telephone Number	:	215-334-6162

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	08/18/2008

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