Organization
SPECIAL NEEDS SUPPLY CO. OF THE ROCKIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE DOCKSTADER (PRESIDENT/COO)
(303) 587-4025
Entity
Organization
Contact information
Practice address
6625 WARD RD, ARVADA, CO 80004-2464
(303) 587-4025
Mailing address
6625 WARD RD, ARVADA, CO 80004-2464
(303) 587-4025
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
335G00000X
Medical Foods Supplier
—
—
Other
Enumeration date
07/29/2020
Last updated
08/05/2020
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