# EXPRESS MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1417233545
- **Authorized official:** DR. MEHDI NIKPARVARFARD (OWNER)
- **Authorized official phone:** (570) 441-4267

## Contact information

- **Practice address:** 2615 E COLLEGE AVE, STATE COLLEGE, PA 16801
- **Practice address phone:** (814) 308-8155
- **Practice address fax:** (814) 308-8584
- **Mailing address:** 2615 E COLLEGE AVE, STATE COLLEGE, PA 16801
- **Mailing address phone:** (814) 308-8155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | MD424252 | PA | Yes |

## Other

- **Enumeration date:** 11/03/2011
- **Last updated:** 11/03/2011