NPI | 1174917579 |
---|---|
Doing Business As | MYMEDSUPPLIES |
Entity Type | Organization |
Authorized Contact | DAN AFRASIABI President/Authorized Official 888-441-1312 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 604-124-465-001-0003) |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: WA 604-124-465-001-0003) |
Enumeration Date | 2015-03-24 |
Last Update Date | 2021-09-09 |