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Pacific Footwear Company, Inc
Durable Medical Equipment & Medical Supplies in Peoria, Arizona
NPI 1104148741

Pacific Footwear Company, Inc is a Durable Medical Equipment & Medical Supplies based in Portland, AZ. Pacific Footwear Company, Inc practices in Peoria, AZ. The NPI Number for Pacific Footwear Company, Inc is 1104148741 and holds a License No. (Arizona).

The current practice location address for Pacific Footwear Company, Inc is 13660 N 94Th Dr, Peoria, AZ and can be reached out via phone at 623-302-9396 and via fax at 623-302-9397.

Location: 13660 N 94Th Dr, Peoria, AZ, 97223-4358
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104148741
Provider Name
Pacific Footwear Company, Inc
Credential
Provider Entity Type
Organization
Address
13660 N 94Th Dr, Peoria, AZ, 97223-4358
Phone Number
623-302-9396
Fax Number
623-302-9397
Provider Enumeration Date
02/24/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13660 N 94Th Dr
City
Peoria
State
Arizona
Zip
85381-4836
Phone Number
623-302-9396
Fax Number
623-302-9397
person
Provider Business Mailing Address Details
Address
13660 N 94Th Dr
City
Peoria
State
Arizona
Zip
85381-4836
Phone Number
623-302-9396
Fax Number
623-302-9397
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
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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