Organization
YOUR HEALTH SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIY KHOMYAK (PRESIDENT)
(605) 439-2771
Entity
Organization
Contact information
Practice address
4920 W THUNDERBIRD RD, STE 125, GLENDALE, AZ 85306-4905
(602) 439-2771
(602) 439-2789
Mailing address
4920 W THUNDERBIRD RD, STE 125, GLENDALE, AZ 85306-4905
(602) 439-2771
(602) 439-2789
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20167370
AZ
Other
Enumeration date
06/04/2007
Last updated
08/22/2020
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