# SUPPLIES UNLIMITED CORP

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

## Provider details

- **NPI number:** 1851606974
- **Authorized official:** LUIS M MEDINA (PRESIDENT)
- **Authorized official phone:** (520) 269-7937

## Contact information

- **Practice address:** 2221 E BROADWAY BLVD, SUITE 203, TUCSON, AZ 85711
- **Practice address phone:** (520) 269-7937
- **Practice address fax:** (866) 760-8483
- **Mailing address:** 2221 E BROADWAY BLVD, SUITE 203, TUCSON, AZ 85711
- **Mailing address phone:** (520) 269-7937
- **Mailing address fax:** (866) 760-8483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/12/2010
- **Last updated:** 08/16/2011