Organization
LIVERMORE MEDICAL SUPPLY
Active
Other names
Live-More Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
STUART E ROTHROCK (OWNER)
(209) 475-0979
Entity
Organization
Contact information
Practice address
1721 PRESCOTT RD, MODESTO, CA 95350-2543
(209) 523-6356
(209) 523-6346
Mailing address
4555 N PERSHING AVE, SUITE #24, STOCKTON, CA 95207-6740
(209) 475-0979
(209) 572-0505
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/02/2006
Last updated
11/23/2007
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