# MEDWIDE LOGISTICS LLC

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

## Provider details

- **NPI number:** 1770460420
- **Authorized official:** HENRY NGUYEN (CEO)
- **Authorized official phone:** (408) 412-9569

## Contact information

- **Practice address:** 1185 CAMPBELL AVE, SAN JOSE, CA 95126-1068
- **Practice address phone:** (408) 412-9569
- **Mailing address:** 6203 SAN IGNACIO AVE STE 110, SAN JOSE, CA 95119-1358

## Taxonomy

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

## Other

- **Enumeration date:** 08/15/2025
- **Last updated:** 08/15/2025