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Family Medical Supply LLC

Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies in Clayton, NC. Organization (NPI-2).

NPI number1760799720
StatusActive
Last updated in NPPESOct 13, 2025

Details

NPI
1760799720
Entity type
Organization (NPI-2)
Legal business name
Family Medical Supply LLC
Organization subpart
No
Enumeration date
Sep 10, 2010
Certification date
Oct 13, 2025
Last updated
Oct 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies––Yes
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition––
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment––
332B00000X Durable Medical Equipment & Medical Supplies––

Practice location

914 Nc Highway 42 W
Clayton, NC 27520-7434

Phone 919-359-0222

Mailing address

555 E North Ln Ste 5075
Conshohocken, PA 19428-2490

Authorized official

Wendy Russalesi
Cco
4842469499

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