PRO-MED MEDICAL SUPPLY NPI 1023177813

NPI Information

PRO-MED MEDICAL SUPPLY is an oxygen equipment and supplies durable medical equipment medical supplies in North Little Rock, AR. PRO-MED MEDICAL SUPPLY NPI is 1023177813. The provider is registered as an organization entity type.

The provider's business location address is:

1313 N HILLS BLVD
SUITE 301
NORTH LITTLE ROCK, AR
ZIP 72114-757
Phone: (501) 353-2610
Fax: (501) 353-2621

The provider's authorized official is Slade Brown .
The authorized official title is Owner and has the following contact phone number (501) 353-2610.

The enumeration date for this NPI number is 12/7/2006 and was last updated on 9/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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