Organization
CRESTHAVEN MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC OBENG B(PHARM) (PARTNER)
(614) 600-1544
Entity
Organization
Contact information
Practice address
2577 S HAMILTON RD, COLUMBUS, OH 43232-4964
(614) 600-1544
Mailing address
7735 HAVENS CT W, BLACKLICK, OH 43004-9555
(614) 600-1544
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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