Organization
TRICARE MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANSARI KASSIM (PRESIDENT/CEO)
(615) 454-3591
Entity
Organization
Contact information
Practice address
4928 EDMONDSON PIKE, SUITE 201, NASHVILLE, TN 37211-4787
(615) 454-3591
(615) 454-3824
Mailing address
4928 EDMONDSON PIKE, SUITE 201, NASHVILLE, TN 37211-4787
(615) 454-3591
(615) 454-3824
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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