Footpharmacy Direct

NPI #1902084734 in Allen, Texas

Provider Information

NPI Number
1902084734
Entity Type
Organization
Organization Name
Footpharmacy Direct
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Feb 4, 2008
Last Updated
Jan 29, 2015

Practice Location

Address
906 W MCDERMOTT DR
Address 2
STE.116-312
City
Allen
State
Texas
ZIP Code
75013-6510
Phone
(800) 860-2773

Authorized Official

Name
MR. RANDALL LEE PENNINGTON, C.O.S.
Title
SALES MANAGER
Phone
(800) 860-2773

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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