GREAT WESTERN DISTRIBUTION OF IDAHO, LLC

MERIDIAN, ID
NPI1497022420
Entity TypeOrganization
Authorized ContactSHERMAN LEIBOW
Owner
208-342-4800
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2011-11-18
Last Update Date2011-11-18
Business Address
GREAT WESTERN DISTRIBUTION OF IDAHO, LLC
480 E FRANKLIN RD SUITE 108
MERIDIAN, ID 83642-2919
Phone number: 208-888-7561
Mailing Address
GREAT WESTERN DISTRIBUTION OF IDAHO, LLC
480 E FRANKLIN RD SUITE 108
MERIDIAN, ID 83642-2919
Phone number: 208-888-7561
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