Organization
POTOMAC SUPPLY COMPANY LLC
Active
Other names
Potomac Supply Company LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OKERA KWABENA STEWART (PRESIDENT)
(202) 341-6070
Entity
Organization
Contact information
Practice address
820 H ST NE STE 201, WASHINGTON, DC 20002-3629
(202) 341-6070
(888) 395-0772
Mailing address
820 H ST NE STE 201, WASHINGTON, DC 20002-3629
(202) 341-6070
(888) 395-0772
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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