Premium Medical Supply LLC
NPI #1326390881 in Saint Cloud, Minnesota
Provider Information
- NPI Number
- 1326390881
- Entity Type
- Organization
- Organization Name
- Premium Medical Supply LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 9, 2012
- Last Updated
- Oct 9, 2012
Practice Location
- Address
- 26 6TH AVE N
- Address 2
- SUITE 370
- City
- Saint Cloud
- State
- Minnesota
- ZIP Code
- 56303-4558
- Phone
- (320) 257-0066
Authorized Official
- Name
- TRENT JOHN FRAHM
- Title
- OWNER
- Phone
- (320) 257-0066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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