Organization
J & B MEDICAL SUPPLY CO INC
Active
Organization
J & B MEDICAL SUPPLY CO INC
Active
Parent organization
J & B MEDICAL SUPPLY CO INC
Other names
J & B Medical Supply Co Inc DIS
Organization subpart
Yes
Provider details
NPI number
Legal business name
J & B MEDICAL SUPPLY CO INC
Authorized official
MR. JULIAN B SHAYA (VP)
(800) 737-0045
Entity
Organization
Contact information
Practice address
50496 W PONTIAC TRAIL, WIXOM, MI 48393
(800) 737-0045
(248) 960-8082
Mailing address
50496 W PONTIAC TRAIL, WIXOM, MI 48393
(800) 737-0045
(248) 960-8082
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
BME0145457
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4596947
—
MI
01
—
5306001467
BOARD OF PHARMACY MFR&WLH
MI
Enumeration date
11/08/2006
Last updated
12/04/2007
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