MEDICARE: N&A MEDICAL SUPPLY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	PHA461420	CA
2	333600000X	Pharmacy	PHA461420	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710075718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	N&A MEDICAL SUPPLY

Provider Business Mailing Address
First Line	:	5427 GEARY BLVD
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94121-2306
Country	:	US
Telephone Number	:	415-752-8040
Fax Number	:	415-752-0869

Provider Business Practice Location Address
First Line	:	5427 GEARY BLVD
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94121-2306
Country	:	US
Telephone Number	:	415-752-8040
Fax Number	:	415-752-0869

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. NELLY MERZHERITSKY
Credential	:	P.T.
Telephone Number	:	415-752-8040

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	08/13/2007

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Directions to “N&A MEDICAL SUPPLY ” Practice Location

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