Organization
ALLEN PARISH MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE S STAGG (OWNER)
(337) 305-0903
Entity
Organization
Contact information
Practice address
442 NORTH 9TH STREET, RM 1, KINDER, LA 70648-3317
(337) 738-3493
(337) 738-3494
Mailing address
PO BOX 1560, KINDER, LA 70648-1560
(337) 738-3493
(337) 738-3494
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1712451
—
LA
Enumeration date
06/11/2006
Last updated
05/01/2008
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