Organization
MARY MEDICAL EQUIPMENT AND SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIJAS A WINSTON (OWNER/CEO)
(501) 831-9074
Entity
Organization
Contact information
Practice address
13718 TRETHORNE CIR, N LITTLE ROCK, AR 72117-5052
(501) 831-9074
Mailing address
13718 TRETHORNE CIR, N LITTLE ROCK, AR 72117-5052
(501) 831-9074
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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