NPI 1902853096

Valley Medical Shoppe INC

Organisation Oxygen Equipment & Supplies (DME) Blackfoot, ID

Practice location

Address: 1350 Parkway Dr STE 26, Blackfoot, ID 83221-1657
Phone: (208) 782-0456
Fax: (208) 782-0457
Mailing address: 146 N 2nd E, Rexburg, ID 83440-1620

Authorised official

Name: Gary W Aiman
Title: Owner
Phone: (208) 356-7913

Registered specialties

Oxygen Equipment & Supplies (DME) Primary

Suppliers Taxonomy 332BX2000X Licence DME244 (ID)

Other Durable Medical Equipment & Medical Supplies providers in Idaho →

Registry record

NPI: 1902853096
Entity type: Organization
NPI issued: 27 May 2006
Record last updated: 10 Sep 2009

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.