Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Parenteral & Enteral Nutrition |
332BP3500X | 87 | All Other Suppliers |
| NPI # | 1679565048 |
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| LBN Legal business name | FARMACIA MARISEL #1 | ||||
| Authorized official | MARISEL MENCHACA - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/22/2005 | ||||
| Last updated | 04/07/2008 - About 18 years ago | ||||
| Identifiers |
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