Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Parenteral & Enteral Nutrition |
332BP3500X | 87 | All Other Suppliers |
| NPI # | 1467690578 |
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| LBN Legal business name | FAMILY MEDICAL SUPPLY LLC | ||||
| Authorized official | WENDY RUSSALESI - (CCO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/27/2009 | ||||
| Last updated | 10/13/2025 - About 8 months ago | ||||
| Identifiers |
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