Healthcare Provider Details

I. General information

NPI: 1588155857
Provider Name (Legal Business Name): INTOUCH MED SUPPLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2018
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 W CHURCH RD STE 102
KING OF PRUSSIA PA
19406-3209
US

IV. Provider business mailing address

215 W CHURCH RD STE 102
KING OF PRUSSIA PA
19406-3209
US

V. Phone/Fax

Practice location:
  • Phone: 888-412-0370
  • Fax: 888-503-6960
Mailing address:
  • Phone: 888-412-0370
  • Fax: 888-503-6960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number6000009358
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code224900000X
TaxonomyMastectomy Fitter
License Number
License Number StateNULL

VIII. Authorized Official

Name: LANCE MARQUARDT
Title or Position: CEO
Credential:
Phone: 888-412-0370