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NPI 1063582872 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1063582872
Enumeration Date 11/09/2006
Last Updated 10/25/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JENNIFER JENNIFER
Position MANAGER ONLINE ADJUDICATION
Phone (909) 574-2831
Fax
Practice Location
15331 BASELINE AVENUE
FONTANA CA, 92336, US
Phone (909) 574-2831
Fax
Business Location
200 NEWBERRY COMMONS
ETTERS PA, 17319-9363, US
Phone (717) 761-2633
Fax (717) 975-8659
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
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According to our database, Thrifty Payless NPI is 1063582872, taxonomy code is 332B00000X Thrifty Payless physically located at 15331 Baseline Avenue, Fontana CA, 92336. NPI Number 1033115704 has the healthcare provider type.

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1063582872 NPI number is provided on an as is basis without warranty of any kind. 1063582872 is maintained by the National Plan & Provider Enumeration System. The contents of Thrifty Payless are for informational purposes only.