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Tri City Shoes Llc
Customized Equipment (DME) in Glasgow, Kentucky
NPI 1750389078

Tri City Shoes Llc is a Customized Equipment (DME) based in Glasgow, KY and is specialized in Customized Equipment. Tri City Shoes Llc practices in Glasgow, KY. The NPI Number for Tri City Shoes Llc is 1750389078 and holds a License No. (Kentucky).

The current practice location address for Tri City Shoes Llc is 105 Rogers Rd, Glasgow, KY and can be reached out via phone at 270-651-8071.

Location: 105 Rogers Rd, Glasgow, KY, 42141-1601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750389078
Provider Name
Tri City Shoes Llc
Credential
Provider Entity Type
Organization
Address
105 Rogers Rd, Glasgow, KY, 42141-1601
Phone Number
270-651-8071
Fax Number
Provider Enumeration Date
07/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
90006255 05 KY
000000577778 01 KY BC/BS
institution
Provider Business Practice Location Address Details
Address
105 Rogers Rd
City
Glasgow
State
Kentucky
Zip
42141-1601
Phone Number
270-651-8071
Fax Number
person
Provider Business Mailing Address Details
Address
105 Rogers Rd
City
Glasgow
State
Kentucky
Zip
42141-1601
Phone Number
270-651-8071
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
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Definition
Definition to come...
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