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NPI Code Detail

MEDICARE: FAVORED MEDICAL SUPPLY

MEDICARE: FAVORED MEDICAL SUPPLY
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
1332B00000XDurable Medical Equipment & Medical Supplies00038203LA

General Provider Information

NPI Number : 1487885802
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAVORED MEDICAL SUPPLY
Provider Business Mailing Address
First Line : 1609 ORCHID ST
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-7779
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1609 ORCHID ST
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-7779
Country : US
Telephone Number : 337-438-1645
Fax Number :
Authorized Official
Title or Position : MARKETING EXECUTIVE
Name : MR. GABRIEL WILLIAMS
Credential :
Telephone Number : 337-438-1645
Provider Enumeration Date : 08/03/2009
Last Update Date : 08/03/2009

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Directions to “FAVORED MEDICAL SUPPLY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.