Provider Demographics
NPI:1639302300
Name:WINSLOW MEDICAL SUPPLY
Entity type:Organization
Organization Name:WINSLOW MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ELSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JENEWARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-513-6219
Mailing Address - Street 1:491 SICKLERVILLE RD.
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081
Mailing Address - Country:US
Mailing Address - Phone:856-513-6219
Mailing Address - Fax:856-513-6231
Practice Address - Street 1:491 SICKLERVILLE RD.
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-3581
Practice Address - Country:US
Practice Address - Phone:856-513-6219
Practice Address - Fax:856-513-6231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-28
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies