Organization
MISSOURI MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS KLIMENKO (PRESIDENT)
(314) 997-3600
Entity
Organization
Contact information
Practice address
8523 OLIVE BLVD, SAINT LOUIS, MO 63132-2817
(314) 997-3600
Mailing address
8523 OLIVE BLVD, SAINT LOUIS, MO 63132-2817
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/18/2006
Last updated
08/22/2020
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