Organization
VICTORY MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SATURDAY S NNAM (OWNER)
(202) 390-4197
Entity
Organization
Contact information
Practice address
515 21ST ST NE, WASHINGTON, DC 20002-4719
(202) 390-4197
Mailing address
515 21ST ST NE, WASHINGTON, DC 20002-4719
(202) 390-4197
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NR0006131669
DCRA CORPORATE DIVISION
DC
Enumeration date
02/07/2019
Last updated
02/07/2019
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