# JALOPY SHOPPE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PRAXAIR HEALTHCARE SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912922857
- **Authorized official:** SCOTT KALTRIDER (PRESIDENT)
- **Authorized official phone:** (203) 837-2330

## Contact information

- **Practice address:** 459 THIS WAY ST, LAKE JACKSON, TX 77566-5143
- **Practice address phone:** (979) 297-7014
- **Practice address fax:** (409) 654-2068
- **Mailing address:** 203 E 6100 S, SALT LAKE CITY, UT 84107-7302
- **Mailing address phone:** (801) 261-7139
- **Mailing address fax:** (801) 288-5906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 02/11/2009