# MEDICARE DROP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicare Drop
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487239562
- **Authorized official:** RYAN G SAMPSON (OWNER)
- **Authorized official phone:** (408) 455-1056

## Contact information

- **Practice address:** 499 SALMAR AVE STE E, CAMPBELL, CA 95008-1401
- **Practice address phone:** (408) 455-1056
- **Mailing address:** PO BOX 697, CAMPBELL, CA 95009-0697
- **Mailing address phone:** (323) 433-6699
- **Mailing address fax:** (408) 608-3608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 03/10/2021
- **Last updated:** 09/10/2021
