Organization
GNL MERCHANDISING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOLA HOLCOMB (OWNER)
(309) 241-5315
Entity
Organization
Contact information
Practice address
327 DERBY ST, PEKIN, IL 61554-5651
(309) 241-5315
(309) 346-1281
Mailing address
327 DERBY ST, PEKIN, IL 61554-5651
(309) 241-5315
(309) 346-1281
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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