A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient?s use in the home and that are usable for an extended period of time.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI # | 1215048152 |
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| LBN Legal business name | 158TH STREET NEIGHBORHOOD PHARMACY, LLC | ||||||||
| Authorized official | NOAM AVIDAR - (MEMEBER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 08/31/2006 | ||||||||
| Last updated | 08/22/2020 - About 6 years ago | ||||||||
| Identifiers |
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