Organization
MARYANN MEDICAL SUPPLY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST THOMAS (LPN)
(610) 809-0772
Entity
Organization
Contact information
Practice address
116 NORTH FRONT STREET, DARBY, PA 19023
(610) 809-0772
Mailing address
116 NORTH FRONT STREET, DARBY, PA 19023
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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