Basic Information
| Provider Information | |||||||||
| NPI: | 1043546609 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BI-COUNTY MEDICAL SUPPLY, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1662 NW 36TH ST | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331425572 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 383 W 34TH ST | ||||||||
| Address2: | |||||||||
| City: | HIALEAH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330124309 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3058841744 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/02/2009 | ||||||||
| LastUpdateDate: | 03/13/2014 | ||||||||
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| AuthorizedOfficialLastName: | DIAZ-BATTE | ||||||||
| AuthorizedOfficialFirstName: | CARLOS | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 3058841744 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 333600000X | PH24315 | FL | Y | Suppliers | Pharmacy |
No ID Information.