Prime Medical Outlet LLC
NPI #1043029887 in Tahlequah, Oklahoma
Provider Information
- NPI Number
- 1043029887
- Entity Type
- Organization
- Organization Name
- Prime Medical Outlet LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jan 6, 2025
- Last Updated
- Apr 8, 2025
Practice Location
Authorized Official
- Name
- ZAVEEN KHAN TATARI
- Title
- OWNER
- Phone
- (240) 708-2081
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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