| NPI | 1295805810 |
|---|---|
| Doing Business As | INTERIOR MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | TRACY LYNN INGRAHAM Owner 907-457-8486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AK 304642) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-06-02 |