Healthcare Provider Details

I. General information

NPI: 1902722879
Provider Name (Legal Business Name): PRIMECARE SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 BROAD ST
STAMFORD CT
06901-2797
US

IV. Provider business mailing address

57 ROCK SPRING RD APT 18
STAMFORD CT
06906-1933
US

V. Phone/Fax

Practice location:
  • Phone: 813-720-5106
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: FURQAN SAADAT
Title or Position: CEO
Credential:
Phone: 813-720-5106