# STAR VALLEY MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1740521335
- **Authorized official:** MRS. REBECCA ERICKSON BS (OWNER)
- **Authorized official phone:** (307) 885-0005

## Contact information

- **Practice address:** 32 EAST 4TH AVE, AFTON, WY 83110-1676
- **Practice address phone:** (307) 885-0005
- **Practice address fax:** (307) 885-0045
- **Mailing address:** PO BOX 1676, AFTON, WY 83110-1676
- **Mailing address phone:** (307) 885-0005
- **Mailing address fax:** (307) 885-0045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 03/07/2013
- **Last updated:** 04/12/2021