Provider Demographics
NPI:1821760125
Name:ANTON MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:ANTON MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF
Authorized Official - Prefix:
Authorized Official - First Name:HAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:623-703-2740
Mailing Address - Street 1:7510 W MISSISSIPPI AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-4570
Mailing Address - Country:US
Mailing Address - Phone:720-527-6003
Mailing Address - Fax:303-935-1008
Practice Address - Street 1:7510 W MISSISSIPPI AVE STE 220
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-4570
Practice Address - Country:US
Practice Address - Phone:303-934-9346
Practice Address - Fax:303-935-1008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-05
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies