Lucky Medical Supplies
Durable Medical Equipment & Medical Supplies in Minneapolis, MN. Organization (NPI-2).
NPI number1780998377
StatusActive
Last updated in NPPESAug 6, 2010
Details
- NPI
- 1780998377
- Entity type
- Organization (NPI-2)
- Legal business name
- Lucky Medical Supplies
- Organization subpart
- No
- Enumeration date
- Aug 6, 2010
- Last updated
- Aug 6, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 302R00000X | Health Maintenance Organization | – | – | |
| 3104A0625X | Assisted Living Facility, Assisted Living, Mental Illness | – | – | |
| 320700000X | Residential Treatment Facility, Physical Disabilities | – | – | |
| 323P00000X | Psychiatric Residential Treatment Facility | – | – | |
| 332100000X | Department of Veterans Affairs (VA) Pharmacy | – | – | |
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – | |
| 332BD1200X | Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | – | – | |
| 332BN1400X | Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | – | – | |
| 332BP3500X | Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | – | – | |
| 343800000X | Secured Medical Transport (VAN) | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – |
Practice location
2910 Pillsbury Ave S Ste 131Minneapolis, MN 55408-2335
Phone 612-229-4715
Mailing address
8133 E Bloomington Fwy Apt 312Bloomington, MN 55420-1013
Phone 612-235-7309
Authorized official
Abdisalam Ahmed
Ceo/President
6122294715
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