Premier Medical Supply LLC

NPI #1780999318 in Monroe, Louisiana

Provider Information

NPI Number
1780999318
Entity Type
Organization
Organization Name
Premier Medical Supply LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Aug 6, 2010
Last Updated
May 11, 2011

Practice Location

Address
1821 ROYAL AVE
Address 2
SUITE 5
City
Monroe
ZIP Code
71201-5721
Phone
(318) 387-2488

Authorized Official

Name
ROD MILLIMAN
Title
MEMBER/MANAGER
Phone
(318) 387-2488

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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