Organization
RUXTON SUPPLY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EAMONN DENNIS REILLY (MANAGING MEMBER)
(410) 715-8900
Entity
Organization
Contact information
Practice address
10420 LITTLE PATUXENT PKWY, SUITE 210, COLUMBIA, MD 21044-3533
(410) 884-6844
(410) 715-8786
Mailing address
10420 LITTLE PATUXENT PKWY, SUITE 210, COLUMBIA, MD 21044-3533
(410) 884-6844
(410) 715-8786
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010257921
—
VA
05
—
407330400
—
MD
Enumeration date
07/27/2006
Last updated
08/31/2011
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