Organization
ADMIRAL MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RASHARD GRAVES (OWNER)
(317) 641-3174
Entity
Organization
Contact information
Practice address
2511 E 46TH ST STE Q7, INDIANAPOLIS, IN 46205-2461
(317) 641-3174
(317) 545-1877
Mailing address
2511 E 46TH ST STE Q7, INDIANAPOLIS, IN 46205-2461
(317) 641-3174
(317) 545-1877
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0119124416
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200482300
—
IN
05
—
200921980
—
IN
Enumeration date
04/06/2006
Last updated
05/20/2009
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