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Organization

MEDLINE INDUSTRIES, LP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRADLEY EDWARD MARIAM (EVP SALES)
(224) 931-1459
Entity
Organization

Contact information

Practice address
3446 HIGHWAY 51 N, SOUTHAVEN, MS 38672-9632
(662) 449-8381
(662) 449-8203
Mailing address
3 LAKES DR, NORTHFIELD, IL 60093-2753
(844) 265-6512

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
08/11/2023
Last updated
08/11/2023
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