Provider Demographics
NPI:1477886851
Name:MEDICAL SUPPLY SOLUTIONS, INC
Entity Type:Organization
Organization Name:MEDICAL SUPPLY SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GLEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-696-7528
Mailing Address - Street 1:770 E BRITTON RD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73114-7705
Mailing Address - Country:US
Mailing Address - Phone:866-696-7528
Mailing Address - Fax:866-696-7529
Practice Address - Street 1:310 W MAIN ST STE H
Practice Address - Street 2:
Practice Address - City:WILBURTON
Practice Address - State:OK
Practice Address - Zip Code:74578-4008
Practice Address - Country:US
Practice Address - Phone:866-696-7528
Practice Address - Fax:866-696-7529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies