Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Home Infusion Therapy Pharmacy |
3336H0001X | 58 | Medical Supply Company with Pharmacist | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI Number | 1295798627 |
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| LBN Legal business name | MED ONE HEALTHCARE LLC | ||||||||||||||||
| Authorized official | BRIAN MURPHY - (PRESIDENT) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 04/07/2006 | ||||||||||||||||
| Last updated | 03/07/2023 - About 3 years ago | ||||||||||||||||
| Identifiers |
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