Organization
HOME MEDICAL SUPPLY OF POPLAR BLUFF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYLYNN GARGAC (BILLING SUPERVISOR)
(800) 682-5510
Entity
Organization
Contact information
Practice address
639 GRAVOIS BLUFFS BLVD, SUITE D, FENTON, MO 63026-7715
(866) 615-7877
(636) 343-0148
Mailing address
1901 SUNSET DR, SUITE A, POPLAR BLUFF, MO 63901-2820
(800) 682-5510
(573) 686-6846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
13165593
MO
Other
Enumeration date
02/27/2006
Last updated
08/22/2020
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