Organization
ISLAND CHOICE MEDICAL SUPPLY LLC
Active
Other names
Island Choice Medical Supply LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JERWIN R BUMANGLAG (OWNER)
(808) 725-4627
Entity
Organization
Contact information
Practice address
91-1820 KOHANAHANA LOOP, EWA BEACH, HI 96706-7852
(808) 725-4627
(808) 685-6701
Mailing address
91-1820 KOHANAHANA LOOP, EWA BEACH, HI 96706-7852
(808) 725-4627
(808) 685-6701
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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