# MERCY MEDICAL SUPPLY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MERCY MEDICAL & DIABETIC SUPPLY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952531303
- **Authorized official:** RISIKATU O. OYEGOKE (CEO)
- **Authorized official phone:** (909) 397-7547

## Contact information

- **Practice address:** 445 N GAREY AVE, 6B, POMONA, CA 91767-5422
- **Practice address phone:** (909) 397-7547
- **Practice address fax:** (909) 397-7549
- **Mailing address:** 445 N GAREY AVE, 6B, POMONA, CA 91767-5422
- **Mailing address phone:** (909) 397-7547
- **Mailing address fax:** (909) 397-7549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 51476 | CA | Yes |

## Other

- **Enumeration date:** 07/20/2009
- **Last updated:** 10/31/2011