Organization
TROPICANA MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERMAINE A. THOMAS (MANAGER)
(702) 547-6017
Entity
Organization
Contact information
Practice address
5020 E TROPICANA AVE, SUITE B-5, LAS VEGAS, NV 89122-6749
(702) 547-6017
(702) 547-6019
Mailing address
5020 E TROPICANA AVE, SUITE B-5, LAS VEGAS, NV 89122-6747
(702) 547-6017
(702) 547-6019
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
1000042-424
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003302512
—
NV
01
—
NV9429
BCBS
NV
Enumeration date
09/22/2006
Last updated
03/29/2010
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