Cocos Shoe Store Inc

NPI 1063561256 - Prosthetic/Orthotic Supplier - 335E00000X

NPI Details
NPI 1063561256
Enumeration Date 01/09/2007
Last Updated 03/11/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROBERT J ROBERT
Position PRESIDENT
Phone (337) 439-4751
Fax (337) 439-1395
Practice Location
2314 RYAN ST
LAKE CHARLES LA, 70601-7320, US
Phone (337) 439-4751
Fax (337) 439-1395
Business Location
2314 RYAN ST
LAKE CHARLES LA, 70601-7320, US
Phone (337) 439-4751
Fax (337) 439-1395
Toxanomy
Taxonomy Code 335E00000X
License State
License Number
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According to our database, Cocos Shoe Store Inc NPI is 1063561256, taxonomy code is 335E00000X Cocos Shoe Store Inc physically located at 2314 Ryan St, Lake Charles LA, 70601-7320. NPI Number 1033115704 has the healthcare provider type.

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1063561256 NPI number is provided on an as is basis without warranty of any kind. 1063561256 is maintained by the National Plan & Provider Enumeration System. The contents of Cocos Shoe Store Inc are for informational purposes only.