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Organization

MEDIFAR MEDICAL, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FARAMUZ A. MAMEDOV (PRESIDENT)
(502) 345-5015
Entity
Organization

Contact information

Practice address
3802 STONE RIVER CT, LOUISVILLE, KY 40299-6543
(502) 345-5015
Mailing address
3802 STONE RIVER CT, LOUISVILLE, KY 40299-6543

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
07/29/2011
Last updated
07/29/2011
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