Organization
MED SOURCE SUPPLY AND SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RO B FERNANDEZ (MANAGER)
(614) 572-9748
Entity
Organization
Contact information
Practice address
3116 WILSON RD, SUITE B, CENTERBURG, OH 43011-9467
(877) 672-1026
(800) 531-7906
Mailing address
3116 WILSON RD, SUITE B, CENTERBURG, OH 43011-9467
(877) 672-1026
(800) 531-7906
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
90022024
OH
Other
Enumeration date
10/02/2008
Last updated
05/04/2012
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