Provider Demographics
NPI:1346863248
Name:NEO MEDICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:NEO MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THAKUR
Authorized Official - Middle Name:PRASAD
Authorized Official - Last Name:NEOPANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-467-0084
Mailing Address - Street 1:247 FENCEPOST LN
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:PA
Mailing Address - Zip Code:17078-8782
Mailing Address - Country:US
Mailing Address - Phone:540-467-0084
Mailing Address - Fax:
Practice Address - Street 1:4807 JONESTOWN RD STE 149
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-1744
Practice Address - Country:US
Practice Address - Phone:540-467-0084
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-26
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies