Organization
ELVORA MEDICAL SUPPLIES
Active
Organization
ELVORA MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL BARI MUKHLIS (OWNER)
(518) 902-8962
Entity
Organization
Contact information
Practice address
3345 ROYAL TROON RD, LEXINGTON, KY 40509-8478
(518) 902-8962
Mailing address
3345 ROYAL TROON RD, LEXINGTON, KY 40509-8478
(518) 902-8962
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/24/2026
Last updated
08/24/2026
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