Organization
RIVERSIDE MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MUNGAI (PRESIDENT)
(717) 222-8300
Entity
Organization
Contact information
Practice address
2813 PULASKI HWY STE 103, EDGEWOOD, MD 21040-1343
(410) 676-8855
Mailing address
2813 PULASKI HWY STE 103, EDGEWOOD, MD 21040-1343
(410) 676-8855
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
R2866
MD
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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