Organization
MEDICAL SUPPLIES INC.
Active
Organization
MEDICAL SUPPLIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA H BREDE RN (CEO)
(320) 231-9757
Entity
Organization
Contact information
Practice address
312 4TH ST SW, SUITE 3, WILLMAR, MN 56201-3332
(320) 231-3655
(320) 231-2454
Mailing address
312 4TH ST SW, SUITE 3, WILLMAR, MN 56201-3332
(320) 231-3655
(320) 231-2454
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764660000
—
MN
Enumeration date
02/06/2007
Last updated
11/07/2014
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