MEDICARE: ARCHWAY MEDICAL SUPPLY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1275654212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARCHWAY MEDICAL SUPPLY INC

Provider Business Mailing Address
First Line	:	5633 S KINGSHIGHWAY BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63109-3508
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5633 S KINGSHIGHWAY BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63109-3508
Country	:	US
Telephone Number	:	314-631-5428
Fax Number	:

Authorized Official
Title or Position	:	PRES
Name	:	BETTY POSGAY
Credential	:
Telephone Number	:	314-631-5428

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	08/22/2020

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Directions to “ARCHWAY MEDICAL SUPPLY INC ” Practice Location

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