Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier |
| NPI # | 1528273737 |
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| LBN Legal business name | MCCONAGHY DRUG STORE INC | ||||||||||||
| Authorized official | DAN MCCONAGHY - (VP) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 05/11/2007 | ||||||||||||
| Last updated | 02/16/2011 - About 15 years ago | ||||||||||||
| Identifiers |
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