Organization
ALLY MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FIRAS ABOLGAR (OWNER)
(312) 493-5657
Entity
Organization
Contact information
Practice address
9247 N MERIDIAN ST STE 106, INDIANAPOLIS, IN 46260-1879
(312) 493-5657
(317) 526-5064
Mailing address
5258 COVENTRY LN, FORT WAYNE, IN 46804-7152
(312) 493-5657
(317) 526-5064
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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