NPI 1275960965
Mallard Medical Supply LLC
Practice location
- Address
- 801 E Church St, Warren, AR 71671-3454
- Phone
- (870) 226-9501
- Fax
- (870) 226-9500
Authorised official
- Name
- Jeffrey K Wardlaw
- Title
- Member
- Phone
- (870) 460-2814
Registered specialties (4)
Durable Medical Equipment & Medical Supplies
Primary
Customized Equipment (DME)
Parenteral & Enteral Nutrition Supplies (DME)
Oxygen Equipment & Supplies (DME)
Registry record
- NPI
- 1275960965
- Entity type
- Organization
- NPI issued
- 26 Sep 2013
- Record last updated
- 17 Jan 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.