Mallard Medical Supply LLC

NPI #1275960965 in Warren, Arkansas

Provider Information

NPI Number
1275960965
Entity Type
Organization
Organization Name
Mallard Medical Supply LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Sep 26, 2013
Last Updated
Jan 17, 2014

Practice Location

Address
801 E CHURCH ST
City
Warren
ZIP Code
71671-3454
Phone
(870) 226-9501

Authorized Official

Name
MR. JEFFREY K WARDLAW
Title
MEMBER
Phone
(870) 460-2814

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Customized EquipmentCustomized Equipment
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral NutritionParenteral & Enteral Nutrition
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & SuppliesOxygen Equipment & Supplies
Durable Medical Equipment & Medical Supplies

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