Organization
OMNICARE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO NARCISO FERNANDEZ CONSUEGRA (PRESIDENT)
(954) 487-9879
Entity
Organization
Contact information
Practice address
1500 N UNIVERSITY DR STE 247, CORAL SPRINGS, FL 33071-6073
(800) 983-2618
Mailing address
1500 N UNIVERSITY DR STE 247, CORAL SPRINGS, FL 33071-6073
(800) 983-2618
(954) 323-2908
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
06/07/2022
Last updated
04/27/2023
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