Organization
LILLY'S MEDICAL SUPPLY
Active
Other names
LILLY'S MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
GEVORK PETIKYAN (OWNER)
(702) 836-3385
Entity
Organization
Contact information
Practice address
734 S BOULDER HWY # A, HENDERSON, NV 89015-7589
(702) 836-3385
(702) 856-3384
Mailing address
734 S BOULDER HWY # A, HENDERSON, NV 89015-7589
(702) 836-3385
(702) 856-3384
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/06/2006
Last updated
11/06/2007
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