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Organization

RITECARE MEDICAL SUPPLY INCORPORATED

Active
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Organization

RITECARE MEDICAL SUPPLY INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARTIN OLIVER ETIM (PRESIDENT/CEO)
(972) 396-0871
Entity
Organization

Contact information

Practice address
717 S GREENVILLE AVE STE 102, ALLEN, TX 75002-3318
(972) 396-0871
(972) 396-2032
Mailing address
717 S GREENVILLE AVE STE 102, ALLEN, TX 75002-3318
(972) 396-0871
(972) 396-2032

Taxonomy

Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
0056215
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0056215
TX

Other

Enumeration date
07/10/2006
Last updated
11/17/2010
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