Organization
NOKO MEDICAL SUPPLY COMPANY
Active
Parent organization
NOKO MEDICAL COMPANY INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOKO MEDICAL COMPANY INC.
Authorized official
DR. COLUMBUS E. OKON JR. (PRESIDENT)
(623) 847-7979
Entity
Organization
Contact information
Practice address
5060 W BETHANY HOME RD STE 4, GLENDALE, AZ 85301-5269
(623) 847-7979
(623) 847-7987
Mailing address
5060 W BETHANY HOME RD STE 4, GLENDALE, AZ 85301-5269
(623) 847-7979
(623) 847-7987
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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