Oklahoma Advantage Storehouse, LLC

NPI #1962911123 in Fairfax, Oklahoma

Provider Information

NPI Number
1962911123
Entity Type
Organization
Organization Name
Oklahoma Advantage Storehouse, LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Sep 20, 2017
Last Updated
Aug 23, 2023

Practice Location

Address
109 W MAPLE ST
ZIP Code
74637-1533
Phone
(918) 642-5492

Authorized Official

Name
WILLIAM LANCE MADISON
Title
PRESIDENT
Phone
(918) 306-1549

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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