Organization
MARIE'S MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLANE P MARIE (OWNER)
(318) 338-3550
Entity
Organization
Contact information
Practice address
103 BLANCHARD ST, SUITE F, WEST MONROE, LA 71291-7369
(318) 338-3550
(318) 338-3551
Mailing address
PO BOX 2174, WEST MONROE, LA 71294-2174
(318) 338-3550
(318) 338-3551
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
310011435
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1433209
—
LA
01
—
F8971
BLUE CROSS BLUE SHIELD
LA
Enumeration date
08/19/2006
Last updated
04/02/2014
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