institution
Goodwin Street Medical Supply Llc
Customized Equipment (DME) in Prescott, Arizona
NPI 1205802899

Goodwin Street Medical Supply Llc is a Customized Equipment (DME) based in Prescott, AZ and is specialized in Customized Equipment. Goodwin Street Medical Supply Llc practices in Prescott, AZ. The NPI Number for Goodwin Street Medical Supply Llc is 1205802899 and holds a License No. 20002621 (Arizona).

The current practice location address for Goodwin Street Medical Supply Llc is 406 W Goodwin St, Prescott, AZ and can be reached out via phone at 928-541-1825 and via fax at 928-541-1823.

Location: 406 W Goodwin St, Prescott, AZ, 86303-3737
institution
Provider Profile Details
NPI Number
1205802899
Provider Name
Goodwin Street Medical Supply Llc
Credential
Provider Entity Type
Organization
Address
406 W Goodwin St, Prescott, AZ, 86303-3737
Phone Number
928-541-1825
Fax Number
928-541-1823
Provider Enumeration Date
02/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
406 W Goodwin St
City
State
Zip
86303-3737
Phone Number
928-541-1825
Fax Number
928-541-1823
person
Provider Business Mailing Address Details
Address
406 W Goodwin St
City
State
Zip
86303-3737
Phone Number
928-541-1825
Fax Number
928-541-1823
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
20002621 (Arizona)
Definition
Definition to come...
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