Organization
PACIFIC BIOMEDICAL DISTRIBUTION SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN AUSTIN HANNEMANN (PRESIDENT)
(916) 967-3652
Entity
Organization
Contact information
Practice address
3140 GOLD CAMP DR, SUITE 90, RANCHO CORDOVA, CA 95670-6023
(916) 967-3652
(916) 967-3652
Mailing address
3140 GOLD CAMP DR, SUITE 90, RANCHO CORDOVA, CA 95670-6023
(916) 967-3652
(916) 967-3652
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
C1817913
CA
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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