Organization
PRIMROSE MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLA GOLDBLAT RN, BSN (PARTNER)
(303) 981-4078
Entity
Organization
Contact information
Practice address
3724 W QUIET CIR, COLORADO SPRINGS, CO 80917-2053
(303) 981-4078
Mailing address
3724 QUIET CIRCLE W., COLORADO SPRINGS, CO 80917
(303) 981-4078
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
163204
CO
Other
Enumeration date
11/11/2009
Last updated
04/05/2010
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