| NPI | 1396780987 |
|---|---|
| Doing Business As | SUPREME MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | CARLA REGINA THOMAS Manager 870-534-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-08-22 |