| Organization Name: | MARIE'S MEDICAL SUPPLY, INC |
| NPI Number: | 1073627568 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BLANE P MARIE (OWNER) |
| Mailing Address: | 775 S Bonner St Ruston |
| State: | LA US |
| Postal Code: | 712705801 |
| Phone Number: | 3182553077 |
| Fax Number: | 3182553242 |
| NPI Enumeration Date: | 08/19/2006 |
| NPI Last Update Date: | 06/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 370011363 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |