Organization
FRESH AIR OXYGEN AND MEDICAL SUPPLY
Active
Other names
FRESH AIR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARIE THORNTON (PRESIDENT/OWNER)
(903) 927-1135
Entity
Organization
Contact information
Practice address
1306 S WASHINGTON AVE, MARSHALL, TX 75670-6216
(903) 927-1135
(903) 927-2232
Mailing address
PO BOX 1281, MARSHALL, TX 75671-1281
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
24241
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175999501
—
TX
01
—
2098692
PK
—
Enumeration date
10/27/2005
Last updated
08/08/2023
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