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Medsource Dme, Inc
Durable Medical Equipment & Medical Supplies in Blytheville, Arkansas
NPI 1881612794

Medsource Dme, Inc is a Durable Medical Equipment & Medical Supplies based in Blytheville, AR. Medsource Dme, Inc practices in Blytheville, AR. The NPI Number for Medsource Dme, Inc is 1881612794 and holds a License No. 000614 (Arkansas).

The current practice location address for Medsource Dme, Inc is 615 W Moultrie Dr, Blytheville, AR and can be reached out via phone at 870-780-6111 and via fax at 870-762-0900.

Location: 615 W Moultrie Dr, Blytheville, AR, 72315-1936
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881612794
Provider Name
Medsource Dme, Inc
Credential
Provider Entity Type
Organization
Address
615 W Moultrie Dr, Blytheville, AR, 72315-1936
Phone Number
870-780-6111
Fax Number
870-762-0900
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000614 01 AR AR BOARD OF PHARMACY
institution
Provider Business Practice Location Address Details
Address
615 W Moultrie Dr
City
Blytheville
State
Arkansas
Zip
72315-1936
Phone Number
870-780-6111
Fax Number
870-762-0900
person
Provider Business Mailing Address Details
Address
615 W Moultrie Dr
City
Blytheville
State
Arkansas
Zip
72315-1936
Phone Number
870-780-6111
Fax Number
870-762-0900
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
000614 (Arkansas)
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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