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Organization
ENCHANTED MEDICAL LLC
Active
Organization
ENCHANTED MEDICAL LLC
Active
Other names
Enchanted Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL TESFAYE PHARM.D (OWNER)
(410) 988-8740
Entity
Organization
Contact information
Practice address
10040 BALTIMORE NATIONAL PIKE STE E110, ELLICOTT CITY, MD 21042-3796
(410) 988-8740
(410) 988-8753
Mailing address
10040 BALTIMORE NATIONAL PIKE STE E110, ELLICOTT CITY, MD 21042-3796
(410) 988-8740
(410) 988-8753
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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