Organization
BANA MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XUAN LY (OWNER)
(763) 742-8460
Entity
Organization
Contact information
Practice address
6517 76TH AVE N, BROOKLYN PARK, MN 55428-1433
(763) 742-8460
Mailing address
6517 76TH AVE N, BROOKLYN PARK, MN 55428-1433
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
370357722
MN
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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