Organization
POTOMAC SUPPLY COMPANY LLC
Active
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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