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Standard Medical Supply, INC.

Durable Medical Equipment & Medical Supplies in Moon Township, PA. Organization (NPI-2).

NPI number1982922639
StatusActive
Last updated in NPPESMay 5, 2010

Details

NPI
1982922639
Entity type
Organization (NPI-2)
Legal business name
Standard Medical Supply, INC.
Organization subpart
Yes
Enumeration date
May 5, 2010
Last updated
May 5, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies3000007829PAYes

Practice location

95 Spring Run Road Ext
Suite 410
Moon Township, PA 15108-9043

Phone 412-424-0062 · Fax 412-424-0067

Mailing address

1101 Sussex Blvd
Broomall, PA 19008-4012

Phone 610-328-9767 · Fax 610-544-9725

Authorized official

Anthony J Sciole
Chief Financial Officer
6103289767

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