Organization
CONSUMERS MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR LITTLEJOHN (OWNER)
(651) 367-4274
Entity
Organization
Contact information
Practice address
619 LAFAYETTE RD N, 311, SAINT PAUL, MN 55130-4446
(612) 220-1858
(651) 774-2847
Mailing address
619 LAFAYETTE RD N, 311, SAINT PAUL, MN 55130-4446
(612) 220-1858
(651) 774-2847
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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