Organization
ELITE MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM BROWN (OWNER)
(307) 742-2445
Entity
Organization
Contact information
Practice address
417 S 2ND ST, LARAMIE, WY 82070-3613
(307) 742-2445
(307) 742-2414
Mailing address
417 S 2ND ST, LARAMIE, WY 82070-3613
(307) 742-2445
(307) 742-2414
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5003641
WY
Other
Enumeration date
09/07/2006
Last updated
07/10/2020
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