Provider Demographics
NPI:1912286147
Name:ALL MEDICAL SUPPLY LLC
Entity Type:Organization
Organization Name:ALL MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:PUKHKIY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-355-4886
Mailing Address - Street 1:60 JAMES WAY
Mailing Address - Street 2:UNIT 4
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-3840
Mailing Address - Country:US
Mailing Address - Phone:215-355-4886
Mailing Address - Fax:
Practice Address - Street 1:60 JAMES WAY
Practice Address - Street 2:UNIT 4
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-3840
Practice Address - Country:US
Practice Address - Phone:215-355-4886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-05
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies