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Nursing Facility Supplies, Customized Equipment

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NICOLLE T SEREDAY

Medical Equipment Supplier Yellow Pages

White Sulphur Springs, Montana

Provider NPI: 1871824300

Organization Information:
Organization Name:  NICOLLE T SEREDAY


Practice Location:
4271 US HIGHWAY 12 E  WHITE SULPHUR SPRINGS, MT 59645 US
Tel: 406-547-2316  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
N3336C0004XSuppliers
Pharmacy
N3336L0003XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
MTPHA-PHR-LIC-28648

Other Provider Identifiers:

IssuerNumberStateType
PK212363901
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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