Organization
MAIN STREET MEDICAL SUPPLY LLC,
Active
Other names
MAIN STREET MEDICAL SUPPLY LLC,
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARITA TEJEDA (OWNER)
(661) 754-0439
Entity
Organization
Contact information
Practice address
834 E AVENUE K STE B, LANCASTER, CA 93535-4766
(661) 754-0439
Mailing address
834 E AVENUE K STE B, LANCASTER, CA 93535-4766
(661) 754-0439
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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