# J&B MEDICAL SUPPLY CO INC

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

## Provider details

- **NPI number:** 1831440718
- **Authorized official:** MARY E SHAYA (PRES/CEO)
- **Authorized official phone:** (800) 737-0045

## Contact information

- **Practice address:** 204 E PECAN ST, SUITE E, CELINA, TX 75009-6152
- **Practice address phone:** (972) 382-8410
- **Practice address fax:** (972) 382-8414
- **Mailing address:** 50496 PONTIAC TRL, WIXOM, MI 48393-2088
- **Mailing address phone:** (800) 737-0045
- **Mailing address fax:** (800) 737-0012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | L2234704 | MI | Yes |

## Other

- **Enumeration date:** 10/02/2012
- **Last updated:** 10/02/2012