Organization
MARTHA J INMAN
Active
Other names
Discount Medical Warehouse
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA J INMAN (OWNER)
(618) 643-4140
Entity
Organization
Contact information
Practice address
RR 1 BOX 83AAA, MC LEANSBORO, IL 62859-9801
(618) 643-4140
Mailing address
RR 1 BOX 83AAA, MC LEANSBORO, IL 62859-9801
(618) 643-4140
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
05/11/2006
Last updated
04/24/2008
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