Organization
HOME MEDICAL SUPPLY OF POPLAR BLUFF, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYLYNN GARGAC (BILLING SUPERVISOR)
(800) 682-5510
Entity
Organization
Contact information
Practice address
760 S KINGSHIGHWAY ST, SUITE L, CAPE GIRARDEAU, MO 63703-7630
(888) 388-0933
(573) 335-0153
Mailing address
1901 SUNSET DR, SUITE A, POPLAR BLUFF, MO 63901-2820
(800) 682-5510
(573) 686-6846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
13165593
MO
Other
Enumeration date
06/10/2005
Last updated
12/19/2007
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