# MEDI SUPPLY NETWORK LLC

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

## Provider details

- **NPI number:** 1972485407
- **Authorized official:** MAURICIO MARQUES CAMPELO U (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (307) 400-2374

## Contact information

- **Practice address:** 30 N GOULD ST STE 43321, SHERIDAN, WY 82801-6317
- **Practice address phone:** (307) 400-2374
- **Mailing address:** 30 N GOULD ST STE 43321, SHERIDAN, WY 82801-6317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 07/24/2025
- **Last updated:** 07/24/2025