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Organization

SIMMCO DISTRIBUTION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
QUENTIN T WOMACK (VICE PRESIDENT)
(314) 324-9206
Entity
Organization

Contact information

Practice address
4813 LEE AVE, SAINT LOUIS, MO 63115-2111
(314) 389-3630
(314) 389-3630
Mailing address
4813 LEE AVE, SAINT LOUIS, MO 63115-2111
(314) 389-3630
(314) 389-3630

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2013006920
MO

Other

Enumeration date
03/15/2013
Last updated
03/15/2013
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