Prairie Medical Supply INC

NPI #1790754711 in Mt Zion, Illinois

Provider Information

NPI Number
1790754711
Entity Type
Organization
Organization Name
Prairie Medical Supply INC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Mar 14, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
120 LEWIS PARK DR
ZIP Code
62549-1202
Phone
(217) 864-0738

Authorized Official

Name
MRS. SHARON S MANDLI
Title
OWNER
Phone
(217) 454-0479

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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