Organization
MEDSTAR MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCY D LONG (ADMINISTRATIVE ASSISTANT)
(304) 842-6001
Entity
Organization
Contact information
Practice address
166 THOMPSON DR, BRIDGEPORT, WV 26330-1644
(304) 842-6001
(304) 842-6111
Mailing address
166 THOMPSON DR, BRIDGEPORT, WV 26330-1644
(304) 842-6001
(304) 842-6111
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
WV
Other
Enumeration date
06/28/2006
Last updated
07/21/2022
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