Pet Co., LLC
Durable Medical Equipment & Medical Supplies in Des Moines, IA. Organization (NPI-2).
NPI number1790775138
StatusActive
Last updated in NPPESJun 21, 2018
Details
- NPI
- 1790775138
- Entity type
- Organization (NPI-2)
- Legal business name
- Pet Co., LLC
- Organization subpart
- Yes
- Enumeration date
- Oct 26, 2005
- Last updated
- Jun 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
1221 Pleasant StSte 150a
Des Moines, IA 50309
Phone 515-244-5109 · Fax 515-241-3505
Mailing address
7147 Vista Dr Ste 160West Des Moines, IA 50266-9313
Phone 515-875-9924 · Fax 515-875-9923
Authorized official
Charles Edward Brown
Chief Executive Officer
5158759101
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