Organization
FAMILY MEDICAL SUPPLY AND CPAP STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK CHARLES HOLZER (OWNER)
(507) 895-6124
Entity
Organization
Contact information
Practice address
624 KING ST, LA CROSSE, WI 54601-4107
(608) 791-1100
(608) 791-1120
Mailing address
624 KING ST, LA CROSSE, WI 54601-4107
(507) 450-9569
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
05/24/2013
Last updated
07/24/2023
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