Organization
JD & SN INC
Active
Other names
ADVANCED MEDICAL & RESPIRATORY SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN WILLIAM NEEDHAM RPH (OWNER)
(509) 764-2314
Entity
Organization
Contact information
Practice address
1320 N 4TH AVE, PASCO, WA 99301-3711
(509) 547-5381
(509) 543-4954
Mailing address
1555 PILGRIM ST, MOSES LAKE, WA 98837-4623
(509) 764-2314
(509) 765-8421
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
601866766
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9058157
—
WA
Enumeration date
02/23/2007
Last updated
08/20/2008
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