# GOULD'S DISCOUNT MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gould's Discount Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265940258
- **Authorized official:** WENDY RUSSALESI (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (484) 246-9499

## Contact information

- **Practice address:** 1051 BRYANT WAY STE 207, BOWLING GREEN, KY 42103-7116
- **Practice address phone:** (270) 297-8801
- **Practice address fax:** (270) 387-1818
- **Mailing address:** 555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2233
- **Mailing address phone:** (610) 424-4515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 01/12/2018
- **Last updated:** 09/02/2025
