# D K MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1427218544
- **Authorized official:** MS. DEBORAH JO MAXSON (OWNER)
- **Authorized official phone:** (314) 249-5034

## Contact information

- **Practice address:** 242 FORT ZUMWALT SQ, O FALLON, MO 63366-3064
- **Practice address phone:** (314) 249-5034
- **Mailing address:** 242 FORT ZUMWALT SQ, O FALLON, MO 63366-3064
- **Mailing address phone:** (314) 249-5034

## Taxonomy

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

## Other

- **Enumeration date:** 06/12/2008
- **Last updated:** 04/28/2009