Organization
TRICARE MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BABLOO CHACKO (ADMINISTRATOR)
(615) 575-4176
Entity
Organization
Contact information
Practice address
258 E MAIN ST, SUITE B, GALLATIN, TN 37066-2961
(615) 575-4176
(615) 452-9652
Mailing address
258 E MAIN ST, SUITE B, GALLATIN, TN 37066-2961
(615) 575-4176
(615) 452-9652
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/23/2007
Last updated
01/14/2009
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