Healthcare Provider Details

I. General information

NPI: 1881098424
Provider Name (Legal Business Name): V&P MEDICAL SUPPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2014
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 74TH AVE N
MINNEAPOLIS MN
55443-3516
US

IV. Provider business mailing address

3700 74TH AVE N
MINNEAPOLIS MN
55443-3516
US

V. Phone/Fax

Practice location:
  • Phone: 763-205-9965
  • Fax: 763-710-9178
Mailing address:
  • Phone: 763-205-9965
  • Fax: 763-710-9178

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: OLUWATOSIN ADEJUWON
Title or Position: CEO
Credential:
Phone: 763-205-9965