Provider Demographics
NPI:1134351505
Name:BEST BUY MEDICAL SUPPLIES LLC.
Entity type:Organization
Organization Name:BEST BUY MEDICAL SUPPLIES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE FINANCE - OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBICHAUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:506-855-8308
Mailing Address - Street 1:450 HILLSIDE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MESQUITE
Mailing Address - State:NV
Mailing Address - Zip Code:89027-3102
Mailing Address - Country:US
Mailing Address - Phone:866-940-4555
Mailing Address - Fax:506-877-1896
Practice Address - Street 1:450 HILLSIDE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:MESQUITE
Practice Address - State:NV
Practice Address - Zip Code:89027-3102
Practice Address - Country:US
Practice Address - Phone:866-940-4555
Practice Address - Fax:506-877-1896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-18
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNRS3607805332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies