Provider Demographics
NPI:1922878859
Name:FORESTER FAMILY MEDICAL SUPPLY, INC.
Entity Type:Organization
Organization Name:FORESTER FAMILY MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER / CRO
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:FORESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-219-2061
Mailing Address - Street 1:9457 S UNIVERSITY BLVD UNIT 840
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-4976
Mailing Address - Country:US
Mailing Address - Phone:202-192-0617
Mailing Address - Fax:720-228-3839
Practice Address - Street 1:4061 S ELIOT ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-4396
Practice Address - Country:US
Practice Address - Phone:720-219-2061
Practice Address - Fax:720-228-3839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies