Organization
COMMUNITY SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISRAEL VELDERRAIN (PRESIDENT)
(602) 404-6172
Entity
Organization
Contact information
Practice address
2737 E GREENWAY RD, STE 11, PHOENIX, AZ 85032-4391
(602) 404-6172
(623) 691-8095
Mailing address
2737 E GREENWAY RD, STE 11, PHOENIX, AZ 85032-4391
(602) 404-6172
(623) 691-8095
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/17/2007
Last updated
02/11/2008
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