AC HEALTHCARE MANUFACTURED BY AC HEALTHCARE SUPPLY, INC.

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Request for Information Form	Contact Information
Company Name	AC HEALTHCARE SUPPLY, INC.
Address	116-51 230TH ST.
City, State, Zip	CAMBRIA HEIGHTS, NY 11411
Country	US
FDA Owner/Operator Phone	905-448-4706
FDA Medical Specialty Code	SU - General Plastic Surgery
FDA Product Code	GEL
FDA Classification Name	GAUZE/SPONGE, INTERNAL, WITH DRUG/BIOLOGIC, ANIMAL SOURCE MATERIAL
FDA Device Classification Code
FDA Regulation Number	NULL
FDA Common Generic Name	NONABSORBABLE GAUZE FOR INTERNAL USE
FDA Proprietary Device Name	AC HEALTHCARE
FDA Owner / Operator Number	9054801
FDA Owner / Operator Name	AC HEALTHCARE SUPPLY, INC.
FDA Establishment Registration Number	3004378727
FDA Registered Establishment Name	AC HEALTHCARE SUPPLY, INC.
FDA Operation Code(s)	RR - Repackager/Relabeller
FDA Listing Date	08-28-03
FDA Listing Status Code	Active
Differentiation	N/A
Keywords	N/A
Description	N/A
Brochure	N/A
Product Website	N/A

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1	COVIDIEN LP, FORMERLY REGISTERED AS KENDALL 15 HAMPSHIRE ST. MANSFIELD, MA 02048 US 508-261-8587 / 508-261-8587	CURITY DISPOSABLE LAPAROTOMY SPONGES	LAPARATOMY SPONGE
2	HONG JIER ENT. CO., LTD. NO.47-11, SEC.2, CHIEN SHAN RD CHUNG-HO VILLAGE CHU-SHAN TOWN,NAN-TOU HSIEN, 55763 TW 886-42-9651131 / 886-352-08829	MEDICATED GAUZE	NONABSORBABLE GAUZE FOR INTERNAL USE
3	HUBEI TSUCHANG MEDICAL & HEATH PRODUTS CO.,LTD. 111 YANHE ROAD,TIANCHENG TOWN CHONGYANG COUNTY, CH	GAUZE AND LAPAROTOMY SPONGES	VARIOUS TYPES OF GAUZE AND LAPAROTOMY SPONGES
4	MODERN HEALTHCARE CORP. NO. 751, CHUNG CHOU RD., SEC.2 TIEN CHUNG COUNTY, CHANG-HWA, 52045 TW 886-4-8752116 / 886-3-5208829	MODERN NONABSORABLE GAUZE	NONABSORABLE GAUZE FOR INTERNAL USE
5	POLLAK (INTL.), LTD. 20, HAMLACHA NEW IND. ZONE, AFEK. ROSH HA'AYIN, 48091 IS 972-390-22885 / 972-390-22885	NO PROPRIETARY NAME LISTED	NO COMMON NAME LISTED
6	SUPER UPSTAST ENT. CO., LTD. 2F, NO.22, ALLEY 20, LANE 365, FU-TEH 1 RD. HSH-CHIH CITY, 22149 TW 886-2-26934620 / 886-3-5208829	SUPER UPSTAST GAUZE SPONGE	GAUZE SPONGE
7	TERNG WANG SURGICAL DRESSING CO., LTD. NO. 410, SEC. 1, YUAN-JI ROAD CHANG HO VIL, ERH SHUI HSIANG CHANGWA HSIAN, 53041 TW 886-4-8795843 / 886-3-5208829	TERNG WANG GAUZE SPONGE	NONABSORBABLE GAUZE FOR EXTERNAL USE