# CIPAN MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1427288448
- **Authorized official:** CHINYELU NNAKE (OWNER)
- **Authorized official phone:** (972) 699-8400

## Contact information

- **Practice address:** 818 S CENTRAL EXPY, STE 4, RICHARDSON, TX 75080-7306
- **Practice address phone:** (972) 699-8400
- **Practice address fax:** (972) 699-8408
- **Mailing address:** 818 S CENTRAL EXPY, STE 4, RICHARDSON, TX 75080-7306
- **Mailing address phone:** (972) 699-8400
- **Mailing address fax:** (972) 699-8408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1000123 | TX | Yes |

## Other

- **Enumeration date:** 07/24/2009
- **Last updated:** 11/19/2010