# 1ST PHARMANEX

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740581362
- **Authorized official:** MS. ERONMWON YVONNE OKONJO R.N. (ADMINISTRATOR)
- **Authorized official phone:** (202) 706-0780

## Contact information

- **Practice address:** 4715 RIVER VALLEY WAY STE 100, BOWIE, MD 20720-3432
- **Practice address phone:** (202) 706-0780
- **Mailing address:** 4715 RIVER VALLEY WAY STE 100, BOWIE, MD 20720-3432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | R2803 | MD | Yes |

## Other

- **Enumeration date:** 11/12/2010
- **Last updated:** 11/12/2010