Organization
5280 MEDICAL SUPPLY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA KOTVYTSKYY (OWNER)
(720) 280-8592
Entity
Organization
Contact information
Practice address
9782 OGDEN ST, THORNTON, CO 80229-7823
(720) 280-8592
Mailing address
9782 OGDEN ST, THORNTON, CO 80229-7823
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
27879337
CO
Other
Enumeration date
12/21/2013
Last updated
12/21/2013
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