Organization
EUCLID BUCKEYE MEDICAL SUPPLY CO. LLC
Active
Other names
Buckeye Medical Supply Co. LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHALONDA NICOLE JOHNSON (OWNER)
(216) 288-6962
Entity
Organization
Contact information
Practice address
26200 SHOREVIEW AVE, EUCLID, OH 44132-1453
(216) 288-6962
(216) 732-7205
Mailing address
26200 SHOREVIEW AVE, EUCLID, OH 44132-1453
(216) 288-6962
(216) 732-7205
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
OH
332BN1400X
Nursing Facility Supplies (DME)
—
OH
332BX2000X
Oxygen Equipment & Supplies (DME)
—
OH
332S00000X
Hearing Aid Equipment
—
OH
335E00000X
Prosthetic/Orthotic Supplier
—
OH
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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