| NPI | 1235124165 |
|---|---|
| Doing Business As | MED RESOURCES RETAIL |
| Entity Type | Organization |
| Authorized Contact | JEFF BRAUN Executive Director 636-733-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2021-02-18 |