Organization
C & M MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRESTON LENELL TARRANT (PRESIDENT)
(419) 872-0033
Entity
Organization
Contact information
Practice address
8600 S WILKINSON WAY, SUITE C, PERRYSBURG, OH 43551-2598
(419) 872-0033
Mailing address
8600 S WILKINSON WAY, SUITE C, PERRYSBURG, OH 43551-2598
(419) 872-0033
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2680960
—
OH
Enumeration date
08/22/2006
Last updated
08/17/2011
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