1ST SOURCE MEDICAL SUPPLY, LLC is a durable medical equipment medical supplies in Upland, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. 1ST SOURCE MEDICAL SUPPLY, LLC NPI is 1538610662. The provider is registered as an organization entity type.
The provider's business location address is:
1123 W 9TH ST
UPLAND, CA
ZIP 91786-704
Phone: (951) 350-4020
Fax: (951) 350-4012
The provider's authorized official is Villard Mccoy .
The authorized official title is Owner and has the following contact phone number (951) 350-4020.
The enumeration date for this NPI number is 10/24/2016 and was last updated on 10/24/2016.