Organization
HOTASAN MEDICAL SUPPLIERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL ATOH ACHU (MARKETING AND BUSINESS DEVELOPMENT)
(316) 516-1633
Entity
Organization
Contact information
Practice address
6602 E HARRY ST, WICHITA, KS 67207-2962
(316) 243-1872
Mailing address
6602 E HARRY ST, WICHITA, KS 67207-2962
(316) 516-1633
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
7669047
KS
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
02/01/2014
Last updated
02/01/2014
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