Organization
FLIGHT REPUBLIC PROPERTY ORGANIZATION
Active
Other names
Mo Medical Distribution
Organization subpart
No
Provider details
NPI number
Authorized official
NASIR HAMIDBEYKWAHMAROK (OWNER)
(636) 206-6154
Entity
Organization
Contact information
Practice address
3430 MCKELVEY RD STE L, BRIDGETON, MO 63044-2556
(636) 206-6154
(279) 203-0587
Mailing address
3430 MCKELVEY RD STE L, BRIDGETON, MO 63044-2556
(636) 206-6154
(279) 203-0587
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
08/07/2024
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