Organization
BOARDMAN MEDICAL SUPPLY CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN S. IVANY (VICE PRESIDENT/GM)
(330) 545-6700
Entity
Organization
Contact information
Practice address
2320 LAKE AVE, ASHTABULA, OH 44004-3440
(440) 536-5593
(440) 536-5597
Mailing address
300 N STATE ST, GIRARD, OH 44420-2538
(330) 545-6700
(330) 545-5555
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/09/2012
Last updated
03/08/2018
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