Organization
PROFESSIONAL MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL JOSEPH PELLERIN CEO (OWNER)
(318) 215-9399
Entity
Organization
Contact information
Practice address
111 E 6TH AVE, OAKDALE, LA 71463-2615
(318) 215-9399
(318) 215-9899
Mailing address
111 E 6TH AVE, OAKDALE, LA 71463-2615
(318) 215-9399
(318) 215-9899
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629251
—
LA
Enumeration date
07/13/2006
Last updated
04/20/2008
About Stedi
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