Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Community/Retail Pharmacy |
3336C0003X | 58 | Medical Supply Company with Pharmacist | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI Number | 1821030602 |
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| LBN Legal business name | HOME OXYGEN SERVICE, LLC | ||||||||
| Authorized official | MICHAEL BEMIS - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/13/2006 | ||||||||
| Last updated | 03/07/2016 - About 10 years ago | ||||||||
| Identifiers |
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