Organization
PATRON SUPPLY COMPANIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN THOMAS WARNE (MANAGER)
(218) 371-6956
Entity
Organization
Contact information
Practice address
2429 TIFFANY CT, SAINT CLOUD, MN 56301-7318
(320) 345-5739
(320) 287-7019
Mailing address
PO BOX 399, WAITE PARK, MN 56387-0399
(218) 371-6956
(320) 287-7019
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/20/2020
Last updated
03/26/2020
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