| NPI | 1275025447 |
|---|---|
| Former Legal Business Name | INDEPENDENT MEDICAL SUPPLY LLC |
| Entity Type | Organization |
| Authorized Contact | FARHIYA M GELLE Owner 764-447-5303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2019-02-26 |