Organization
SAINT BENEDICT MEDICAL SUPPLY, INC
Active
Other names
SAINT BENEDICT MEDICAL & DENTAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENEDICT TOLULANI ADEYEMI (CEO/OWNER)
(707) 386-6528
Entity
Organization
Contact information
Practice address
1324 TEXAS ST, FAIRFIELD, CA 94533-5919
(707) 399-9090
Mailing address
1324 TEXAS ST, FAIRFIELD, CA 94533-5919
(707) 399-9090
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
46170
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46170
HMDR RETAIL LICENSE
CA
Enumeration date
09/26/2006
Last updated
08/22/2020
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