Organization
DB MEDICAL SUPPLY, LLC
Active
Other names
Green and Jackson Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARCEY BENZEL (OWNER)
(509) 529-1700
Entity
Organization
Contact information
Practice address
1365 DALLES MILITARY RD, WALLA WALLA, WA 99362-4300
(509) 529-1700
(509) 529-3473
Mailing address
1644 PLAZA WAY, PMB 520, WALLA WALLA, WA 99362-4325
(509) 529-1700
(509) 529-3473
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278089
—
OR
05
—
9051392
—
WA
Enumeration date
11/01/2005
Last updated
12/08/2009
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