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MALLARD MEDICAL SUPPLY LLC
NPI 1770914996
Durable Medical Equipment & Medical Supplies - Customized Equipment in Warren, AR

Active since December 13, 2013
801 E CHURCH ST, WARREN, AR 71671(870) 226-9501(870) 226-9500 Get Directions Write a Review

NPPES record last updated: December 13, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mallard Medical Supply Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLARD MEDICAL SUPPLY LLC (NPI 1770914996) is a healthcare organization registered as a customized equipment in Warren, Arkansas and active in the NPI registry since December 2013. The organization lists Jeffrey Reed Wardlaw, Manager, as its authorized official.

NPPES Registry Identity

NPI1770914996
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameMALLARD MEDICAL SUPPLY LLC
Location Address801 E CHURCH STWarren, AR 71671-3454
Mailing Address801 E Church StWarren, AR 71671-3454 · (870) 226-9501 · Fax (870) 226-9500
Phone(870) 226-9501
Fax(870) 226-9500
Organization SubpartNo
Authorized OfficialJeffrey Reed WardlawManager · (870) 226-9501
Enumeration DateDecember 13, 2013
✔ NPI 1770914996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
License✔ Licensed in AR · 14306
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X · License 14306 (AR)
Also ListedDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesTaxonomy 332BX2000X
801 E CHURCH ST, Warren, AR 71671
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDICAL NECESSITIES OF ARKANSAS, LLC
Durable Medical Equipment & Medical Supplies
801 E CHURCH ST
WARREN, AR 71671
Bradley County (870) 226-9501
MEDICAL NECESSITIES INC
Durable Medical Equipment & Medical Supplies
801 E CHURCH ST
WARREN, AR 71671
Bradley County (870) 226-9501
MALLARD MEDICAL SUPPLY LLC
Durable Medical Equipment & Medical Supplies
801 E CHURCH ST
WARREN, AR 71671
Bradley County (870) 226-9501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallard Medical Supply LLC's NPI number?

The NPI number for Mallard Medical Supply LLC is 1770914996. It was assigned to this organization in the NPPES registry on December 13, 2013.

Where is Mallard Medical Supply LLC located?

Mallard Medical Supply LLC is located at 801 E Church St, Warren, AR 71671. The listed phone number is (870) 226-9501.

What is Mallard Medical Supply LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Mallard Medical Supply LLC was last updated on December 13, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.