| NPI | 1215102066 |
|---|---|
| Doing Business As | SAINT JOHN'S MEDICAL SUPPLIES |
| Entity Type | Organization |
| Authorized Contact | DANTE O PHILLIPS Director 765-683-3201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IN 69000392A) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2010-03-16 |