Organization
FORT SMITH DIALYSIS SUPPLY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA SUE CLARK RN,CNN (DIRECTOR)
(479) 709-6828
Entity
Organization
Contact information
Practice address
1506 DODSON AVE, FORT SMITH, AR 72901-5128
(479) 709-6828
(479) 709-7453
Mailing address
1506 DODSON AVE, FORT SMITH, AR 72901-5128
(479) 709-6828
(479) 709-7453
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
06/15/2005
Last updated
08/22/2020
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