Organization Name: | MILLENNIUM MEDICAL SUPPLY |
NPI Number: | 1023458593 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SEMIRA A HUSSIEN (DIRECTOR) |
Mailing Address: | 12815 Canyon Rd E Ste R Puyallup |
State: | WA US |
Postal Code: | 983735104 |
Phone Number: | 1877875509 |
Fax Number: | 2535392990 |
NPI Enumeration Date: | 06/28/2013 |
NPI Last Update Date: | 06/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 60566157 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy 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 |