Organization
MERCURY PLUS CORPORATION
Active
Other names
Emerson Nutritional & Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS P DIZON (CEO)
(310) 266-1408
Entity
Organization
Contact information
Practice address
4339 SHOPPING LN, SIMI VALLEY, CA 93063-2948
(805) 578-9088
(805) 578-9288
Mailing address
4339 SHOPPING LN, SIMI VALLEY, CA 93063-2948
(805) 578-9088
(805) 578-9288
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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