Organization
ALPHA MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT H BANNERMAN-THOMPSON (PRESIDENT)
(651) 486-6465
Entity
Organization
Contact information
Practice address
2489 RICE ST, SUITE 80, ROSEVILLE, MN 55113-3738
(651) 486-6465
(651) 486-6465
Mailing address
2489 RICE ST, SUITE 80, ROSEVILLE, MN 55113-3738
(651) 486-6465
(651) 486-6465
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3340236-2
MN
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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