Organization
A & B MEDICAL SUPPLIES, LLC
Active
Other names
A & B MEDICAL SUPPLY, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA HENDERSON (GENERAL MANAGER)
(636) 356-4803
Entity
Organization
Contact information
Practice address
444 GRACIE LN, MOSCOW MILLS, MO 63362-1142
(636) 356-4803
(636) 356-4605
Mailing address
444 GRACIE LN, MOSCOW MILLS, MO 63362-1142
(636) 356-4803
(636) 356-4605
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2009031587
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158760741
—
AR
01
—
2637253
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
625242904
—
MO
Enumeration date
12/01/2006
Last updated
01/04/2011
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