Organization
YOUR MEDICAL STORE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PANKAJ GARG MD (PRESIDENT)
(585) 391-1424
Entity
Organization
Contact information
Practice address
34 WEST AVE, BROCKPORT, NY 14420-1304
(585) 391-1424
Mailing address
245 S MAIN ST, ALBION, NY 14411-1642
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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