# PRESTIGIOUS MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1417154618
- **Authorized official:** MRS. DOREEN LYONS (PRESIDENT)
- **Authorized official phone:** (303) 422-1447

## Contact information

- **Practice address:** 7470 W 38TH AVE, WHEAT RIDGE, CO 80033-4845
- **Practice address phone:** (303) 422-1447
- **Practice address fax:** (303) 422-3019
- **Mailing address:** 7480 W. 38TH AVE., WHEATRIDGE, CO 80033-4845
- **Mailing address phone:** (303) 422-1447
- **Mailing address fax:** (303) 422-3019

## Taxonomy

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

## Other

- **Enumeration date:** 06/29/2007
- **Last updated:** 08/22/2020