Provider Demographics
NPI:1255448478
Name:ARO LIQUIDATION AND MEDICAL SUPPLIES
Entity type:Organization
Organization Name:ARO LIQUIDATION AND MEDICAL SUPPLIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:UMOETUK
Authorized Official - Middle Name:U
Authorized Official - Last Name:UDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-547-0733
Mailing Address - Street 1:2520 TELEGRAPH AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-1712
Mailing Address - Country:US
Mailing Address - Phone:510-547-0733
Mailing Address - Fax:510-547-0517
Practice Address - Street 1:2520 TELEGRAPH AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-1712
Practice Address - Country:US
Practice Address - Phone:510-547-0733
Practice Address - Fax:510-547-0517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103072332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA103072OtherFOOD AND DRUG RETAIL
CA103072OtherFOOD AND DRUG RETAIL