Old Town Medical Equipment LLC

NPI #1114377074 in Monett, Missouri

Provider Information

NPI Number
1114377074
Entity Type
Organization
Organization Name
Old Town Medical Equipment LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jun 21, 2016
Last Updated
Jun 21, 2016

Practice Location

Address
100 CHAPEL DR STE E
City
Monett
ZIP Code
65708-9378
Phone
(417) 635-1100

Authorized Official

Name
MR. SHANE MICHAEL BECKER, PHARM D RPH
Title
OWNER/PHARMACIST/PIC
Phone
(417) 635-1100

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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