Pro-med Medical Supply

NPI 1023177813 - Durable Medical Equipment & Medical Supplies - 332BX2000X

NPI Details
NPI 1023177813
Enumeration Date 12/07/2006
Last Updated 09/08/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SLADE SLADE
Position OWNER
Phone (501) 353-2610
Fax (501) 353-2621
Practice Location
1313 N HILLS BLVD
SUITE 301
NORTH LITTLE ROCK AR, 72114-3757, US
Phone (501) 353-2610
Fax (501) 353-2621
Business Location
1313 N HILLS BLVD
SUITE 301
NORTH LITTLE ROCK AR, 72114-3757, US
Phone (501) 353-2610
Fax (501) 353-2621
Toxanomy
Taxonomy Code 332BX2000X
License State Arkansas
License Number 7573
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According to our database, Pro-med Medical Supply NPI is 1023177813, taxonomy code is 332BX2000X and license number is 7573, license state is located at Arkansas. Pro-med Medical Supply physically located at 1313 N Hills Blvd, North Little Rock AR, 72114-3757. NPI Number 1033115704 has the healthcare provider type.

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1023177813 NPI number is provided on an as is basis without warranty of any kind. 1023177813 is maintained by the National Plan & Provider Enumeration System. The contents of Pro-med Medical Supply are for informational purposes only.