# SUPERIOR OXYGEN AND MEDICAL SUPPLY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174900633
- **Authorized official:** MR. THOMAS C BYERLY (PRESIDENT/OWNER)
- **Authorized official phone:** (610) 371-0202

## Contact information

- **Practice address:** 438 N DUKE ST, LANCASTER, PA 17602-4927
- **Practice address phone:** (717) 509-0202
- **Practice address fax:** (717) 509-0205
- **Mailing address:** 438 N DUKE ST, LANCASTER, PA 17602-4927
- **Mailing address phone:** (717) 509-0202
- **Mailing address fax:** (717) 509-0205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 05/04/2015
- **Last updated:** 03/18/2016