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Organization
ALLY MEDICAL SUPPLY
Active
Organization
ALLY MEDICAL SUPPLY
Active
Other names
Diabetic Shoes Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
LIBAN ALI HASSAN (PRESIDENT)
(612) 208-0282
Entity
Organization
Contact information
Practice address
6238 LYNDALE AVE SOUTH, SUITE # 2, RICHFIELD, MN 55423
(612) 208-0282
(612) 345-5582
Mailing address
6238 LYNDALE AVE SOUTH, SUITE # 2, RICHFIELD, MN 55423
(612) 208-0282
(612) 345-5582
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NULL
Other
Enumeration date
10/28/2014
Last updated
10/05/2018
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