Organization Name: | MPS RX TRI-STATE LLC |
NPI Number: | 1164744546 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERRI DELANY (MANAGER, BUSINESS SYSTEMS SUPPORT) |
Mailing Address: | 22 Paris Ave Northvale |
State: | NJ US |
Postal Code: | 076472600 |
Phone Number: | 2017841643 |
Fax Number: | |
NPI Enumeration Date: | 02/25/2010 |
NPI Last Update Date: | 03/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 28RS00701000 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
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 |