| NPI | 1710261789 |
|---|---|
| Doing Business As | PHILADELPHIA MEDICAL SUPPLY INC |
| Entity Type | Organization |
| Authorized Contact | JAN P WHITEHEAD President 662-803-3199 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |