# LIVERMORE MEDICAL SUPPLY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Live-More Medical Supplies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689611063
- **Authorized official:** STUART E ROTHROCK (OWNER)
- **Authorized official phone:** (209) 475-0979

## Contact information

- **Practice address:** 4555 N PERSHING AVE, SUITE 24, STOCKTON, CA 95207-6740
- **Practice address phone:** (209) 475-0979
- **Practice address fax:** (209) 472-0505
- **Mailing address:** 4555 N PERSHING AVE, SUITE 24, STOCKTON, CA 95207-6740
- **Mailing address phone:** (209) 475-0979
- **Mailing address fax:** (209) 472-0505

## Taxonomy

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

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 11/23/2007