Organization
AIRLINE DRUG INC.
Active
Other names
LOUIS & CLARK MEDICAL EQUIPMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARK E MATTHEWS JR. (PRESIDENT)
(413) 737-7456
Entity
Organization
Contact information
Practice address
309 EAST ST, SPRINGFIELD, MA 01104-2259
(413) 737-7456
(413) 781-0642
Mailing address
309 EAST STREET, SPRINGFIELD, MA 01104-2259
(413) 737-7456
(413) 737-3814
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513508
—
MA
01
—
20058
HEALTH NET PLAN
MA
01
—
283154
BCBS
MA
Enumeration date
06/08/2005
Last updated
07/27/2012
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