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Organization

CENTRAL STATES MEDICAL DISTRIBUTORS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIDGET MUSSORICI (PRESIDENT)
(816) 616-3535
Entity
Organization

Contact information

Practice address
9006 NE 80TH ST, KANSAS CITY, MO 64158-7604
(816) 616-3535
Mailing address
9006 NE 80TH ST, KANSAS CITY, MO 64158-7604
(816) 616-3535

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
MO

Other

Enumeration date
02/14/2017
Last updated
02/14/2017
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