Organization
OLYMPIC MEDICAL SUPPLY, LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULAHI A MOHAMED (BUSINESS MANAGER)
(612) 423-2852
Entity
Organization
Contact information
Practice address
2645 1ST AVE S STE 114, MINNEAPOLIS, MN 55408
(612) 423-2852
(612) 354-2960
Mailing address
2645 1ST AVE S STE 114, MINNEAPOLIS, MN 55408-1806
(612) 423-2852
(612) 354-2960
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/08/2015
Last updated
07/19/2018
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