Mackmalter Enterprises INC

NPI #1487670584 in Benton, Illinois

Provider Information

NPI Number: 1487670584
Entity Type: Organization
Organization Name: Mackmalter Enterprises INC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Jul 14, 2006
Last Updated: Apr 26, 2019

Practice Location

Address: 205 BAILEY LN
City: Benton
State: Illinois
ZIP Code: 62812-1921
Phone: (618) 438-0309

Authorized Official

Name: MR. FRANK D CLARK
Title: OWNER
Phone: (618) 438-0309

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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