Lucky Strike Medical Supply INC
NPI #1245922327 in Cookeville, Tennessee
Provider Information
- NPI Number
- 1245922327
- Entity Type
- Organization
- Organization Name
- Lucky Strike Medical Supply INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 25, 2023
- Last Updated
- May 25, 2023
Practice Location
- Address
- 2258 W BROAD ST UNIT 1
- City
- Cookeville
- State
- Tennessee
- ZIP Code
- 38501-2263
- Phone
- (931) 854-0686
Authorized Official
- Name
- MR. EHIMWENMA K OWEN
- Title
- MANAGING DIRECTOR
- Phone
- (502) 291-4542
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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