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Organization

PREMIER HOSPITAL SUPPLY INC

Active
Other names
O2 Solutions
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DARREN D MAESTAS (PRESIDENT)
(505) 341-4914
Entity
Organization

Contact information

Practice address
5326 PAN AMERICAN RD NE, ALBUQUERQUE, NM 87109
(505) 341-4914
(505) 341-4916
Mailing address
PO BOX 93725, 5326 PAN AMERICAN RD NE, ALBUQUERQUE, NM 87199-3725
(505) 341-4914
(505) 341-4916

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
407NM
NM
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
76301061
NM
Enumeration date
07/10/2006
Last updated
07/12/2012
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