Specialty Sales & Service a Utah Business Trust

NPI #1396804753 in Logan, Utah

Provider Information

NPI Number: 1396804753
Entity Type: Organization
Organization Name: Specialty Sales & Service a Utah Business Trust
Primary Specialty: Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition
Enumeration Date: Dec 8, 2006
Last Updated: Jul 30, 2020

Practice Location

Address: 580 N MAIN ST STE 250D
City: Logan
State: Utah
ZIP Code: 84321-3994
Phone: (801) 679-1874

Authorized Official

Name: MR. MICHAEL ZELLER
Title: AUTHORIZED AGENT
Phone: (801) 679-1874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition	332BP3500X	Primary

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