NPI 1770914996

Mallard Medical Supply LLC

Organisation Customized Equipment (DME) Warren, AR

Practice location

Address: 801 E Church St, Warren, AR 71671-3454
Phone: (870) 226-9501
Fax: (870) 226-9500

Authorised official

Name: Jeffrey Reed Wardlaw
Title: Manager
Phone: (870) 226-9501

Registered specialties (3)

Customized Equipment (DME) Primary

Suppliers Taxonomy 332BC3200X Licence 14306 (AR)

Other Durable Medical Equipment & Medical Supplies providers in Arkansas →

Parenteral & Enteral Nutrition Supplies (DME)

Suppliers Taxonomy 332BP3500X Licence 14306 (AR)

Oxygen Equipment & Supplies (DME)

Suppliers Taxonomy 332BX2000X

Registry record

NPI: 1770914996
Entity type: Organization
NPI issued: 13 Dec 2013
Record last updated: 13 Dec 2013

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.