Organization
MENAUL MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD REZA ZAMANIAN DOCTOR OF PHARMACY (PHARMACIST/OWNER)
(505) 291-1600
Entity
Organization
Contact information
Practice address
11415 MENAUL BLVD NE, ALBUQUERQUE, NM 87112-2435
(505) 291-1600
(505) 291-1604
Mailing address
11417 MENAUL BLVD NE, ALBUQUERQUE, NM 87112-1794
(505) 291-1600
(505) 291-1604
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/19/2010
Last updated
08/25/2011
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