4t Medical Supply
NPI #1861693368 in Rigby, Idaho
Provider Information
- NPI Number
- 1861693368
- Entity Type
- Organization
- Organization Name
- 4t Medical Supply
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 30, 2007
- Last Updated
- Jun 13, 2008
Practice Location
Authorized Official
- Name
- MRS. ODILA EUGENIA CONICA
- Title
- OWNER
- Phone
- (208) 745-9497
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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