Organization Name: | TONKA MEDICAL SUPPLIES, INC. |
NPI Number: | 1811082332 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IGOR ZOTOV (VICE PRESIDENT) |
Mailing Address: | 8110 Minnetonka Blvd. St. Louis Park |
State: | MN US |
Postal Code: | 554263022 |
Phone Number: | 9529391171 |
Fax Number: | 9529390183 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 08/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 069258 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |