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Organization

UNIVERSAL MEDICAL SUPPLY CORP

Active
Parent organization
UNIVERSAL MEDICAL SUPPLY CORP
Other names
Unimed
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSAL MEDICAL SUPPLY CORP
Authorized official
MR. JERRY DEAN COOK BA, CEAC, ATS (OWNER)
(479) 936-8484
Entity
Organization

Contact information

Practice address
801 S BOWMAN RD, SUITE 2, LITTLE ROCK, AR 72211-3433
(479) 936-8484
(479) 936-8222
Mailing address
726 W WALNUT ST, ROGERS, AR 72756-3760
(479) 936-8484
(479) 936-8222

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
MG00161
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MG00161
AR STATE BOARD OF PHARMAC
AR
Enumeration date
01/25/2008
Last updated
01/25/2008
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