# PRIMECARE MEDICAL SUPPLY, INC.

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

## Provider details

- **NPI number:** 1598896540
- **Authorized official:** DELE SILVIA (PRESIDENT)
- **Authorized official phone:** (562) 860-4813

## Contact information

- **Practice address:** 12146 SOUTH ST, SUITE F, ARTESIA, CA 90701-6844
- **Practice address phone:** (562) 860-4813
- **Practice address fax:** (562) 860-4823
- **Mailing address:** 12146 SOUTH ST, SUITE F, ARTESIA, CA 90701-6844
- **Mailing address phone:** (562) 860-4813
- **Mailing address fax:** (562) 860-4823

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 46022 | CA | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 05/05/2008
