# PITTSBURG MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1184552143
- **Authorized official:** SHANNON TYLER SMITH (PRESIDENT)
- **Authorized official phone:** (925) 966-9797

## Contact information

- **Practice address:** 2283 RAILROAD AVE, PITTSBURG, CA 94565-4924
- **Practice address phone:** (925) 966-9797
- **Mailing address:** 3710 LONE TREE WAY STE 150, ANTIOCH, CA 94509-6018
- **Mailing address phone:** (925) 966-9797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2026
- **Last updated:** 05/11/2026