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1st Source Medical Supply, Llc
Durable Medical Equipment & Medical Supplies in Upland, California
NPI 1538610662

1st Source Medical Supply, Llc is a Durable Medical Equipment & Medical Supplies based in Upland, CA. 1st Source Medical Supply, Llc practices in Upland, CA. The NPI Number for 1st Source Medical Supply, Llc is 1538610662 and holds a License No. (California).

The current practice location address for 1st Source Medical Supply, Llc is 1123 W 9Th St, Upland, CA and can be reached out via phone at 951-350-4020 and via fax at 951-350-4012.

Location: 1123 W 9Th St, Upland, CA, 91786-5704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538610662
Provider Name
1st Source Medical Supply, Llc
Credential
Provider Entity Type
Organization
Address
1123 W 9Th St, Upland, CA, 91786-5704
Phone Number
951-350-4020
Fax Number
951-350-4012
Provider Enumeration Date
10/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1123 W 9Th St
City
Upland
State
California
Zip
91786-5704
Phone Number
951-350-4020
Fax Number
951-350-4012
person
Provider Business Mailing Address Details
Address
1123 W 9Th St
City
Upland
State
California
Zip
91786-5704
Phone Number
951-350-4020
Fax Number
951-350-4012
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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