Mallard Medical Supply LLC
Mallard Medical Supply LLC provides Customized Equipment (DME) in Warren, Arkansas. Licensed in Arkansas. Registered with an NPI since 2013.
- Licensed in
- AR
- In the registry since
- 2013
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
801 E Church StWarren, AR 71671-3454 Not confirmed with CMS for 12 years — call before visiting
Phone: (870) 226-9501
Fax: (870) 226-9500
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X · Licence 14306 (AR) |
|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | Taxonomy 332BP3500X · Licence 14306 (AR) |
| Oxygen Equipment & Supplies (DME) | Taxonomy 332BX2000X |
Record details
| NPI number | 1770914996 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Wardlaw — Manager · (870) 226-9501 |
| NPI enumerated | December 13, 2013 |
| Last updated in NPPES | December 13, 2013 |
| Mailing address | 801 E Church St, Warren, AR 71671-3454 |