Beauregard Medical Supply LLC

NPI #1679843098 in Deridder, Louisiana

Provider Information

NPI Number: 1679843098
Entity Type: Organization
Organization Name: Beauregard Medical Supply LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Jan 2, 2012
Last Updated: Jan 2, 2012

Practice Location

Address: 1004 N PINE ST
Address 2: B
City: Deridder
State: Louisiana
ZIP Code: 70634-2818
Phone: (337) 842-6142

Authorized Official

Name: JOHN LOFTIN
Title: PRESIDENT
Phone: (337) 842-6142

Specialties & Taxonomy Codes

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

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