Provider Demographics
NPI:1366933756
Name:SNAP MEDICAL SUPPLY LLC
Entity type:Organization
Organization Name:SNAP MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZAKARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-644-5780
Mailing Address - Street 1:7600 WAYZATA BLVD STE 3B
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55426-1662
Mailing Address - Country:US
Mailing Address - Phone:612-644-5780
Mailing Address - Fax:
Practice Address - Street 1:7600 WAYZATA BLVD STE 3B
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55426-1662
Practice Address - Country:US
Practice Address - Phone:612-644-5780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-22
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies