OrganizationActive
Specialty Sales & Service LLC
NPI 1396804753 · Parenteral & Enteral Nutrition Supplies (DME) · Logan, UT
Provider details
- NPI number
- 1396804753
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Michael Zeller, Authorized Agent(801) 679-1874
Specialties & taxonomies
Suppliers
Practice location
580 N Main St Ste 250d
Logan, UT 84321-3994
Phone: (801) 679-1874
Fax: (801) 679-1875
Approximate (ZIP-level) locationGet directions
Mailing address
580 N Main St Ste 250d
Logan, UT 84321-3994
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2026-06-03
- Certified
- 2026-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.