Organization
REDTAIL SUPPLY CORPORATION DBA AMRAMP
Active
Organization
REDTAIL SUPPLY CORPORATION DBA AMRAMP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC J. WALLENTINE MBA, CSA (PRESIDENT)
(208) 371-1258
Entity
Organization
Contact information
Practice address
2375 S COBALT POINT WAY STE 102, MERIDIAN, ID 83642-8029
(208) 371-1258
(208) 350-7271
Mailing address
2375 S COBALT POINT WAY STE 102, MERIDIAN, ID 83642-8029
(208) 371-1258
(208) 350-7271
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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