Organization Name: | MEGAMAR, INC. |
NPI Number: | 1912185067 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLYN SUSAN ZVORAK (PRESIDENT) |
Mailing Address: | 10048 Sw 37th Ave Ellendale |
State: | MN US |
Postal Code: | 560262017 |
Phone Number: | 5074553553 |
Fax Number: | 5074553053 |
NPI Enumeration Date: | 01/31/2008 |
NPI Last Update Date: | 01/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | 072669-RC |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |