Bioscrip Medical Supply Services, LLC
Durable Medical Equipment & Medical Supplies in Hattiesburg, MS. Organization (NPI-2).
NPI number1790120210
StatusActive
Last updated in NPPESNov 29, 2016
Details
- NPI
- 1790120210
- Entity type
- Organization (NPI-2)
- Legal business name
- Bioscrip Medical Supply Services, LLC
- Organization subpart
- No
- Enumeration date
- May 10, 2013
- Last updated
- Nov 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 12286/11.1 | MS | Yes |
Practice location
108 Lundy LnHattiesburg, MS 39401-6601
Phone 855-267-4391
Mailing address
10050 Crosstown CirSuite 300
Eden Prairie, MN 55344-3348
Phone 952-979-3680 · Fax 952-352-6698
Authorized official
Kathryn Stalmack
Svp, General Counsel, Secretary
7206975153
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