Organization
ADMIRAL MEDICAL SUPPLY INC.
Active
Organization
ADMIRAL MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RASHARD GRAVES (PRESIDENT)
(317) 296-7730
Entity
Organization
Contact information
Practice address
10475 CROSSPOINT BLVD STE 250, INDIANAPOLIS, IN 46256
(317) 296-7730
(317) 545-1877
Mailing address
10475 CROSSPOINT BLVD STE 250, INDIANAPOLIS, IN 46256-3387
(317) 296-7730
(317) 545-1877
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IN
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801060173
—
DE
05
—
200921980A
—
IN
Enumeration date
04/17/2008
Last updated
07/21/2022
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