Organization Name: | EUCLID BUCKEYE MEDICAL SUPPLY CO. LLC |
NPI Number: | 1033441043 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHALONDA NICOLE JOHNSON (OWNER) |
Mailing Address: | 26200 Shoreview Ave Euclid |
State: | OH US |
Postal Code: | 441321453 |
Phone Number: | 2162886962 |
Fax Number: | 2167327205 |
NPI Enumeration Date: | 02/02/2010 |
NPI Last Update Date: | 02/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BN1400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Nursing Facility Supplies |
Taxonomy Definition: |