PENDLETON LOWCOST PRESCRIPTION NPI 1245342195

NPI Information

PENDLETON LOWCOST PRESCRIPTION is a durable medical equipment medical supplies in Pendleton, IN. 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. PENDLETON LOWCOST PRESCRIPTION NPI is 1245342195. The provider is registered as an organization entity type.

The provider's business location address is:

777 E WATER ST
PENDLETON, IN
ZIP 46064-317
Phone: (765) 778-1851
Fax: (765) 778-7181

The provider's authorized official is Charles Clevenger .
The authorized official title is President and has the following contact phone number (765) 778-1851.

The CLIA number assigned to this NPI record is 15D0979699 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.

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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