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Brenda D Polston
Durable Medical Equipment & Medical Supplies in Judsonia, Arkansas
NPI 1285683250

Brenda D Polston is a Durable Medical Equipment & Medical Supplies based in Judsonia, AR. Brenda D Polston practices in Judsonia, AR. The NPI Number for Brenda D Polston is 1285683250 and holds a License No. (Arkansas).

The current practice location address for Brenda D Polston is 300 Van Buren, Judsonia, AR and can be reached out via phone at 501-729-5490 and via fax at 501-729-1511.

Location: 300 Van Buren, Judsonia, AR, 72081-0297
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285683250
Provider Name
Brenda D Polston
Credential
Provider Entity Type
Organization
Address
300 Van Buren, Judsonia, AR, 72081-0297
Phone Number
501-729-5490
Fax Number
501-729-1511
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00440777 05 MS
141085716 05 AR
49701 01 AR BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
300 Van Buren
City
Judsonia
State
Arkansas
Zip
72081-0297
Phone Number
501-729-5490
Fax Number
501-729-1511
person
Provider Business Mailing Address Details
Address
300 Van Buren
City
Judsonia
State
Arkansas
Zip
72081-0297
Phone Number
501-729-5490
Fax Number
501-729-1511
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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