NPI | 1023500345 |
---|---|
Doing Business As | STONY CREEK MEDICAL SALES |
Entity Type | Organization |
Authorized Contact | JOSEPH F AGNEW Owner 267-421-4123 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2018-06-01 |
Last Update Date | 2018-06-01 |