Organization
PRESCOTT MOBILILTY STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDSAY JANE SHERRARD (OWNER)
(928) 541-0120
Entity
Organization
Contact information
Practice address
609 MILLER VALLEY RD, PRESCOTT, AZ 86301-2315
(928) 541-0120
(928) 541-0122
Mailing address
609 MILLER VALLEY RD, PRESCOTT, AZ 86301-2315
(928) 541-0120
(928) 541-0122
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5200-61900-16
AZ
Other
Enumeration date
10/09/2006
Last updated
10/15/2009
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