Organization
SEQUON LLC
Active
Other names
Altruix
Organization subpart
No
Provider details
NPI number
Authorized official
GREG GANSE (CHIEF EXECUTIVE OFFICER)
(717) 394-5671
Entity
Organization
Contact information
Practice address
601 CHINQUAPIN ROUND RD, ANNAPOLIS, MD 21401-4009
(443) 837-0200
(410) 990-4455
Mailing address
601 CHINQUAPIN ROUND RD, ANNAPOLIS, MD 21401-4009
(443) 837-0200
(410) 990-4455
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PW0303
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002538100
—
MD
01
—
2037900
PK
—
Enumeration date
05/29/2006
Last updated
09/30/2024
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