Organization
MARK II ENT., LTD
Active
Other names
Med-Ox Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A SMITH (MANAGING MEMBER)
(937) 323-5764
Entity
Organization
Contact information
Practice address
4867 URBANA RD, SPRINGFIELD, OH 45502-9503
(937) 323-5764
(937) 323-2699
Mailing address
4867 URBANA RD, SPRINGFIELD, OH 45502-9503
(937) 323-5764
(937) 323-2699
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
11067
OH
3336M0002X
Mail Order Pharmacy
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2070360
—
OH
Enumeration date
09/01/2006
Last updated
09/13/2007
Update your record
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