Organization
SCHRADERS MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTINA MARIE MCINTOSH (PRESIDENT)
(909) 447-7040
Entity
Organization
Contact information
Practice address
5507 BROOKS ST, MONTCLAIR, CA 91763-4547
(909) 447-7040
Mailing address
5507 BROOKS ST, MONTCLAIR, CA 91763-4547
(909) 447-7040
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02413F
—
CA
Enumeration date
04/24/2006
Last updated
09/11/2025
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