Organization Name: | VICTORY DISTRIBUTORS LLC |
NPI Number: | 1619085099 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELWEN EATON (PHARMACY INSURANCE SPECIALIST) |
Mailing Address: | 66 2 Drum Hill Shopping Ctr Chelmsford |
State: | MA US |
Postal Code: | 01824 |
Phone Number: | 9789702001 |
Fax Number: | 9784599026 |
NPI Enumeration Date: | 08/27/2006 |
NPI Last Update Date: | 08/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |