# CORE MED SUPPLY LLC

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

## Provider details

- **NPI number:** 1740142157
- **Authorized official:** RISHABH SHUKLA (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (469) 915-5044

## Contact information

- **Practice address:** 1021 E LINCOLNWAY STE 9161, CHEYENNE, WY 82001-4851
- **Practice address phone:** (469) 915-5044
- **Mailing address:** 1021 E LINCOLNWAY STE 9161, CHEYENNE, WY 82001-4851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 11/25/2025
- **Last updated:** 11/25/2025