Organization
MEDLINE INDUSTRIES, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY POCKLINGTON (SVP HOMECARE AND MANAGED CARE)
(224) 931-1230
Entity
Organization
Contact information
Practice address
5701 PROMONTORY PKWY, SUITE 100, TRACY, CA 95377-9201
(866) 356-4997
(866) 202-1563
Mailing address
3 LAKES DR, NORTHFIELD, IL 60093-2753
(844) 265-6512
(866) 779-5827
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1300000653
CA
Other
Enumeration date
11/05/2013
Last updated
08/16/2022
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