Provider Demographics
NPI:1144750118
Name:MED-X SALES AND SERVICE INC.
Entity Type:Organization
Organization Name:MED-X SALES AND SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-903-0542
Mailing Address - Street 1:7111 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:ELMA
Mailing Address - State:NY
Mailing Address - Zip Code:14059-8804
Mailing Address - Country:US
Mailing Address - Phone:1716-903-0542
Mailing Address - Fax:
Practice Address - Street 1:3045 SENECA ST
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-2648
Practice Address - Country:US
Practice Address - Phone:716-777-4372
Practice Address - Fax:716-299-2860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-13
Last Update Date:2017-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies