Provider Demographics
NPI:1457390221
Name:ALDRICH RESPIRATORY & MEDICAL SUPPLY CO
Entity Type:Organization
Organization Name:ALDRICH RESPIRATORY & MEDICAL SUPPLY CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:F
Authorized Official - Last Name:ALDRICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-654-4551
Mailing Address - Street 1:200 OVERLOOK DR
Mailing Address - Street 2:SUITE 303
Mailing Address - City:PITTSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18640-1016
Mailing Address - Country:US
Mailing Address - Phone:570-654-4551
Mailing Address - Fax:570-654-4599
Practice Address - Street 1:200 OVERLOOK DR
Practice Address - Street 2:SUITE 303
Practice Address - City:PITTSTON
Practice Address - State:PA
Practice Address - Zip Code:18640-1016
Practice Address - Country:US
Practice Address - Phone:570-654-4551
Practice Address - Fax:570-654-4599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5658610001Medicare NSC