Scooter Store-Jackson LLC
NPI #1912924986 in Pearl, Mississippi
Provider Information
- NPI Number
- 1912924986
- Entity Type
- Organization
- Organization Name
- Scooter Store-Jackson LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- THE SCOOTER STORE - USA, INC.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Aug 9, 2013
Practice Location
- Address
- 125 PAUL TRUITT LN
- City
- Pearl
- State
- Mississippi
- ZIP Code
- 39208-4073
- Phone
- (601) 932-5177
Authorized Official
- Name
- JASON CONE
- Title
- GENERAL COUNSEL & SECRETARY
- Phone
- (830) 627-4433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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