# MINIMED DISTRIBUTION CORP.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MINIMED DISTRIBUTION CORP.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386890408
- **Legal business name:** MINIMED DISTRIBUTION CORP.
- **Authorized official:** ANGELA WARD (PRINCIPAL OPERATIONS SPECIALIST)
- **Authorized official phone:** (804) 550-2017

## Contact information

- **Practice address:** 14420 NW 60TH AVE BLDG 7B, MIAMI LAKES, FL 33014-2807
- **Practice address phone:** (800) 646-4633
- **Practice address fax:** (818) 739-4414
- **Mailing address:** 18000 DEVONSHIRE ST, ATTN: MANAGED MARKETS, NORTHRIDGE, CA 91325-1219
- **Mailing address phone:** (800) 646-4633
- **Mailing address fax:** (818) 739-4843

## Taxonomy

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

## Other

- **Enumeration date:** 08/08/2008
- **Last updated:** 03/27/2023