Organization · Type 2 NPI

State Medical Supply Provider, Inc

Durable Medical Equipment & Medical Supplies · St. Louis, MO

NPI number 1720290281 Active

Practice location

9109 Lackland Rd
St. Louis, MO 63114-5410

Call (314) 426-5903 Map

Fax (314) 890-2110

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000X17769558 (MO)

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1720290281

State Medical Supply Provider, Inc's National Provider Identifier is 1720290281, issued on May 4, 2007. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 22, 2020.