Medicare Supplier LAKE REGIONAL MEDICAL MANAGEMENT, INC. Details

Globally Unique Supplier Identifier: 20417849

medicare equipment supplier status:  active since 2020-01-01

Supplier: LAKE REGIONAL MEDICAL MANAGEMENT, INC.

Reference Information. Full Replica of the CMS (NPPES) Record

Field Name Field Value
Supplier ID 20417849
Globally Unique Supplier Identifier
Company Name LAKE REGIONAL MEDICAL MANAGEMENT, INC.
Supplier Company Name
Doing Business As (DBA) LAKE REGIONAL PHARMACY-ELDON
Alternative Company Name or Doing Business As (DBA)
Participation Begin Date 2020-01-01
Participation Begin Date
Address Line 416B S MAPLE ST
Delivery Address Line
City ELDON
Business Address City
State MO
Business Address State
Zip 65026-1812
Business Address Zip
Phone Number 573-557-2231
Business Phone Number
Specialities List
  • Pharmacy
Specialities List
Product Category Name(s)
  • Blood Glucose Monitors/Supplies (Mail Order)
  • Blood Glucose Monitors/Supplies (Non-Mail Order)
  • Canes and/or Crutches
  • Commodes, Urinals, Bedpans
  • Heat & Cold Applications
  • Immunosuppressive Drugs
  • Nebulizer Drugs
  • Oral Anticancer Drugs
  • Oral Antiemetic Drugs
  • Orthoses: Off-The-Shelf
  • Ostomy Supplies
  • Surgical Dressings
  • Urological Supplies
  • Walkers
Category, which supplier's products belong to (wheelchairs, scooters, surgical tools, etc.)
Latitude 38.34641
Business Practice Latitude
Longitude -92.57938
Business Practice Longitude
Is Contracted For CBA False
Is Contracted For CBA

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