Organization
LEGACY MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOVELYN MARIE PEDRO RAMENTO BSN, RN (OWNER / GENERAL MANAGER)
(808) 330-9508
Entity
Organization
Contact information
Practice address
98-138 HILA PL # PA05, PEARL CITY, HI 96782-3201
(808) 312-1632
(808) 312-4205
Mailing address
98-138 HILA PL # PA05, PEARL CITY, HI 96782-3201
(808) 312-1632
(808) 312-4205
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
HI
Other
Enumeration date
07/05/2017
Last updated
07/21/2022
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