Provider Demographics
NPI:1255043303
Name:ANCHOR MEDICAL SUPPLY INC.
Entity type:Organization
Organization Name:ANCHOR MEDICAL SUPPLY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLEJAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-256-4828
Mailing Address - Street 1:43391 BUSINESS PARK DR STE C7
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-3694
Mailing Address - Country:US
Mailing Address - Phone:951-256-4828
Mailing Address - Fax:866-256-6258
Practice Address - Street 1:43391 BUSINESS PARK DR STE C7
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-3694
Practice Address - Country:US
Practice Address - Phone:951-256-4828
Practice Address - Fax:866-256-6258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-20
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies