Organization
THE DAAVLIN DISTRIBUTING CO.
Active
Other names
Phothera
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE THIEL (REGULATORY MANAGER)
(419) 636-6304
Entity
Organization
Contact information
Practice address
205 W BEMENT ST, BRYAN, OH 43506-1264
(419) 636-6304
Mailing address
PO BOX 626, BRYAN, OH 43506-0626
(419) 636-6304
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
008046570
CT
332BC3200X
Customized Equipment (DME)
Primary
86-015092
OH
Other
Enumeration date
01/03/2007
Last updated
04/23/2025
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