Organization
A-1 MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI PERUCCA (LLC MEMBER)
(801) 394-4455
Entity
Organization
Contact information
Practice address
134 31ST ST, OGDEN, UT 84401-3811
(801) 394-4455
(801) 394-6060
Mailing address
134 31ST ST, OGDEN, UT 84401-3811
(801) 394-4455
(801) 394-6060
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87046612501001
BC&BC PROVIDER NUMBER
UT
Enumeration date
01/07/2007
Last updated
08/22/2020
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