Organization
LETAPCO-PROGRESSIVE HOME MEDICAL
Active
Other names
Progressive Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRIT PATEL RPH. (PRESIDENT)
(480) 895-1877
Entity
Organization
Contact information
Practice address
10450 E RIGGS RD, SUITE #107, CHANDLER, AZ 85248-7758
(480) 895-1877
(480) 895-2949
Mailing address
10450 E RIGGS RD, SUITE #107, CHANDLER, AZ 85248-7758
(480) 895-1877
(480) 895-2949
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
3336S0011X
Specialty Pharmacy
2098
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0316883
NABP NUMBER
AZ
01
—
2098
PHARMACY LICENCE NUMBER
AZ
01
—
AZ0278050
BCBS OF ARIZONA
AZ
Enumeration date
04/07/2007
Last updated
01/26/2015
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