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
505 E. MAIN STREET, SALISBURY, MD 21804
(410) 341-4710
(410) 341-4789
Mailing address
601 CHINQUAPIN ROUND RD, ANNAPOLIS, MD 21401-4009
(443) 837-0200
(410) 990-4455
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
PO7526
MD
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
P06212
MD
3336L0003X
Long Term Care Pharmacy
Primary
PO7526
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120397500
—
MD
01
—
2147074
PK
—
05
—
423035300
—
MD
Enumeration date
11/12/2013
Last updated
09/30/2024
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