Organization
MERCY INSULIN PUMP SUPPLY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY LEE VASQUEZ (PRESIDENT)
(405) 470-2616
Entity
Organization
Contact information
Practice address
5700 NW 132ND ST, OKLAHOMA CITY, OK 73142-4430
(405) 470-2616
(405) 470-3650
Mailing address
5700 NW 132ND ST, OKLAHOMA CITY, OK 73142-4430
(405) 470-2616
(405) 470-3650
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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