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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