Organization
OLD TRAIL SALES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN MARIE PICA (OWNER)
(717) 932-4831
Entity
Organization
Contact information
Practice address
3620 OLD TRAIL RD, YORK HAVEN, PA 17370-9734
(717) 932-4831
(717) 932-4830
Mailing address
3620 OLD TRAIL RD, YORK HAVEN, PA 17370-9734
(717) 932-4831
(717) 932-4830
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
84766110
PA
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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