Organization
GREMLIN SUPPLY CORPORATION
Active
Other names
Gremlin Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY D GIBBONS (OWNER)
(315) 794-2085
Entity
Organization
Contact information
Practice address
15 SENECA AVE, ONEIDA, NY 13421-2555
(315) 363-1236
(315) 361-4884
Mailing address
15 SENECA AVE, PO BOX 155, ONEIDA, NY 13421-2555
(315) 363-1236
(315) 361-4884
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
07/25/2007
Last updated
08/28/2012
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