Organization
9NINE ONLINE STORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED RAZA (CEO)
(916) 299-9942
Entity
Organization
Contact information
Practice address
3325 LONGVIEW DR, SACRAMENTO, CA 95821-7103
(916) 299-9942
(916) 299-9941
Mailing address
PO BOX 661414, SACRAMENTO, CA 95866-1414
(916) 299-9942
(916) 299-9941
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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