Organization
MERCY MEDICAL SUPPLY INC.
Active
Other names
MERCY MEDICAL & DIABETIC SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
RISIKATU O. OYEGOKE (CEO)
(909) 397-7547
Entity
Organization
Contact information
Practice address
445 N GAREY AVE, 6B, POMONA, CA 91767-5422
(909) 397-7547
(909) 397-7549
Mailing address
445 N GAREY AVE, 6B, POMONA, CA 91767-5422
(909) 397-7547
(909) 397-7549
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
51476
CA
Other
Enumeration date
07/20/2009
Last updated
10/31/2011
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