Organization
TRICARE MEDICAL SUPPLIES, INC.
Active
Parent organization
TRICARE MEDICAL SUPPLIES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRICARE MEDICAL SUPPLIES, INC.
Authorized official
ANSARI M KASSIM (PRESIDENT/CEO)
(615) 230-3000
Entity
Organization
Contact information
Practice address
104 GLEN OAK BLVD STE 120, HENDERSONVILLE, TN 37075-6421
(615) 991-5970
(615) 991-5982
Mailing address
104 GLEN OAK BLVD STE 120, HENDERSONVILLE, TN 37075-6421
(615) 991-5970
(615) 991-5982
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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