# MEDSUPPLY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDSUPPLY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396432035
- **Legal business name:** MEDSUPPLY
- **Authorized official:** ADAM JAMES FRERICHS (PRESIDENT)
- **Authorized official phone:** (559) 696-9356

## Contact information

- **Practice address:** 3119 TOMAHAWK DR, STOCKTON, CA 95205-2472
- **Practice address phone:** (559) 292-1540
- **Mailing address:** 3119 TOMAHAWK DR, STOCKTON, CA 95205-2472

## Taxonomy

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

## Other

- **Enumeration date:** 04/21/2023
- **Last updated:** 04/21/2023