Healthcare Provider Details

I. General information

NPI: 1447785779
Provider Name (Legal Business Name): 7612796 CANADA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2017
Last Update Date: 04/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 DRUMMOND 1904
MONTREAL QUEBEC
H3G 2X1
CA

IV. Provider business mailing address

2000 DRUMMOND 1904
MONTREAL QUEBEC
H3G 2X1
CA

V. Phone/Fax

Practice location:
  • Phone: 888-940-2014
  • Fax:
Mailing address:
  • Phone: 888-940-2014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. MAURIZIO VERRELLI
Title or Position: PRESIDENT
Credential:
Phone: 888-940-2014