Organization · Type 2 NPI
Mallard Medical Supply LLC
Customized Equipment (DME) · Warren, AR
NPI number
1770914996
Active
Practice location
801 E Church St
Warren, AR 71671-3454
Fax (870) 226-9500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 14306 (AR) |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 14306 (AR) |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | None listed |
Customized Equipment (DME): Definition to come...
3 other providers at this address
About NPI 1770914996
Mallard Medical Supply LLC's National Provider Identifier is 1770914996, issued on Dec 13, 2013. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Warren, AR. The record was last updated on Dec 13, 2013.