Organization
MARIE'S MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLANE P MARIE (OWNER)
(318) 338-3550
Entity
Organization
Contact information
Practice address
775 S BONNER ST, RUSTON, LA 71270-5801
(318) 255-3077
(318) 255-3242
Mailing address
PO BOX 2174, WEST MONROE, LA 71294-2174
(318) 338-3550
(318) 338-3551
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
370011363
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1433209
—
LA
Enumeration date
08/19/2006
Last updated
06/21/2012
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