Med Source Supply and Service, LLC
NPI #1366693806 in Centerburg, Ohio
Provider Information
- NPI Number
- 1366693806
- Entity Type
- Organization
- Organization Name
- Med Source Supply and Service, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 2, 2008
- Last Updated
- May 4, 2012
Practice Location
- Address
- 3116 WILSON RD
- Address 2
- SUITE B
- City
- Centerburg
- State
- Ohio
- ZIP Code
- 43011-9467
- Phone
- (877) 672-1026
Authorized Official
- Name
- RO B FERNANDEZ
- Title
- MANAGER
- Phone
- (614) 572-9748
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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