Provider Demographics
NPI:1750503389
Name:A & L MEDICAL SUPPLY DISCOUNTERS
Entity Type:Organization
Organization Name:A & L MEDICAL SUPPLY DISCOUNTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LOREN
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-361-1919
Mailing Address - Street 1:50 RIVER ACRES LN
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22406-5425
Mailing Address - Country:US
Mailing Address - Phone:540-752-2447
Mailing Address - Fax:
Practice Address - Street 1:296 WARRENTON RD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-1332
Practice Address - Country:US
Practice Address - Phone:540-361-1919
Practice Address - Fax:540-361-4340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies