NPI | 1215087002 |
---|---|
Doing Business As | SAINT JOHNS MEDICAL SUPPLIES |
Entity Type | Organization |
Authorized Contact | DANTE O PHILLIPS Director 765-683-3201 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 69000167A) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2011-12-20 |