Organization
MAGNOLIA MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYREETA BULGIN (OWNER)
(774) 361-4056
Entity
Organization
Contact information
Practice address
1822 N BRUNSWICK ST, WICHITA, KS 67212-1588
(774) 361-4056
Mailing address
1822 N BRUNSWICK ST, WICHITA, KS 67212-1588
(774) 361-4056
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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