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NPI Code Detail

MEDICARE: NAI SATURN EASTERN LLC

MEDICARE: NAI SATURN EASTERN LLC
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 Supplies
23336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1720699895
Entity Type Code : Organization
Provider Name (Legal Business Name) : NAI SATURN EASTERN LLC
Provider Business Mailing Address
First Line : 250 E PARKCENTER BLVD
Second Line :
City : BOISE
State : ID
Zip : 83706-3940
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5000 BRADLEY BLVD
Second Line :
City : BETHESDA
State : MD
Zip : 20815-6559
Country : US
Telephone Number : 301-654-4169
Fax Number :
Authorized Official
Title or Position : ENROLLMENTS MANAGER
Name : KATHY GIANNAKOPOULOS
Credential :
Telephone Number : 208-395-3954
Provider Enumeration Date : 08/12/2020
Last Update Date : 08/12/2020

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Directions to “NAI SATURN EASTERN LLC ” Practice Location

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