Organization
FIRST CENTURY MEDICAL SUPPLY,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRY LUZIN (CEO)
(504) 575-0211
Entity
Organization
Contact information
Practice address
637 S PIERCE ST, NEW ORLEANS, LA 70119-6805
(504) 575-0211
(504) 304-6691
Mailing address
637 S PIERCE ST, NEW ORLEANS, LA 70119-6805
(504) 575-0211
(504) 304-6691
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
23160
LA
Other
Enumeration date
04/14/2010
Last updated
06/28/2010
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