Organization
MINIMED DISTRIBUTION CORP.
Active
Parent organization
MINIMED DISTRIBUTION CORP.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINIMED DISTRIBUTION CORP.
Authorized official
ANGELA E WARD (SENIOR COMPLIANCE SPECIALIST)
(804) 262-6492
Entity
Organization
Contact information
Practice address
5665 SW MEADOWS RD, SUITE 100, LAKE OSWEGO, OR 97035-3159
(800) 646-4633
(818) 576-6228
Mailing address
18000 DEVONSHIRE ST, ATTN: ANGELA WARD, NORTHRIDGE, CA 91325-1219
(800) 646-4633
(818) 576-6228
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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