Organization
SOUTHERN ILLINOIS OXYGEN & MED SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELLA DARLENE PUGH (OWNER/OPERATOR)
(618) 285-3511
Entity
Organization
Contact information
Practice address
1107 W 10TH ST, METROPOLIS, IL 62960-2432
(618) 524-2825
(618) 524-1659
Mailing address
PO BOX 382, ELIZABETHTOWN, IL 62931-0382
(618) 285-3511
(618) 285-3597
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Enumeration date
04/24/2007
Last updated
03/24/2008
Update your record
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