Organization
ELITE MEDICAL SUPPLY, INC.
Active
Other names
Elite Medical Supply, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEMIN ABOO (CEO)
(405) 632-2755
Entity
Organization
Contact information
Practice address
7217 S WESTERN AVE, OKLAHOMA CITY, OK 73139-2005
(405) 632-2755
(405) 632-5244
Mailing address
PO BOX 19635, OKLAHOMA CITY, OK 73144-0635
(405) 632-2755
(405) 632-5244
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200048830A
—
OK
Enumeration date
06/24/2005
Last updated
09/08/2008
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