Organization
J&B MEDICAL SUPPLY CO INC
Active
Organization
J&B MEDICAL SUPPLY CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN SHAYA (EXECUTIVE VICE PRESIDENT)
(800) 737-0045
Entity
Organization
Contact information
Practice address
194 E HIGHWAY 66 STE A, GALLUP, NM 87301-6232
(800) 737-0045
(800) 737-0012
Mailing address
50496 PONTIAC TRL, WIXOM, MI 48393-2088
(800) 737-0045
(800) 737-0012
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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