Organization
SHALOM DME SUPPLIER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALISA GHEREGA (PRESIDENT)
(602) 279-8066
Entity
Organization
Contact information
Practice address
2611 N 7TH ST, PHOENIX, AZ 85006-1002
(602) 279-8066
(602) 274-6906
Mailing address
2611 N 7TH ST, PHOENIX, AZ 85006-1002
(602) 279-8066
(602) 274-6906
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20183915
AZ
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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