Organization
MEDICAL SUPPLY DME LLC
Active
Other names
Medical Supplies Only
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN MCCORMAC (PRESIDENT)
(314) 753-0607
Entity
Organization
Contact information
Practice address
13035 OLIVE BLVD STE 212, SAINT LOUIS, MO 63141-6179
(877) 277-6067
Mailing address
13035 OLIVE BLVD STE 212, SAINT LOUIS, MO 63141-6179
(877) 277-6067
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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