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Organization

PRIME MEDICAL SUPPLY CO., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT R BURNS (PRESIDENT)
(410) 787-2069
Entity
Organization

Contact information

Practice address
3915 BENSON AVE, BALTIMORE, MD 21227-1406
(410) 787-2069
(410) 787-0541
Mailing address
3915 BENSON AVE, BALTIMORE, MD 21227-1406
(410) 787-2069
(410) 787-0541

Taxonomy

Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
02995303
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0095150
NJ
05
1000030179
DE
Enumeration date
06/30/2005
Last updated
07/18/2007
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