Provider Demographics
NPI:1255378071
Name:DRB MEDICAL LLC
Entity type:Organization
Organization Name:DRB MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNABELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:CFO PTA
Authorized Official - Phone:636-329-0100
Mailing Address - Street 1:5933 S HIGHWAY 94
Mailing Address - Street 2:STE 205
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63304-5610
Mailing Address - Country:US
Mailing Address - Phone:636-329-0100
Mailing Address - Fax:
Practice Address - Street 1:5933 S HIGHWAY 94
Practice Address - Street 2:STE 205
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63304-5610
Practice Address - Country:US
Practice Address - Phone:636-329-0100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies