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Organization

CROWN MEDICAL SUPPLY INC

Active
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Organization

CROWN MEDICAL SUPPLY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OMAR ALI (CEO)
(612) 227-1677
Entity
Organization

Contact information

Practice address
393 DUNLAP ST N STE 408, SAINT PAUL, MN 55104-4237
(612) 227-1677
Mailing address
393 DUNLAP ST N STE 408, SAINT PAUL, MN 55104-4200
(612) 227-1677
(651) 299-8987

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
05/22/2020
Last updated
11/25/2025
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