Organization
POTOMAC MEDICAL LLC
Active
Other names
Atlantic Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC JAMES BURKHOLDER (PRESIDENT)
(301) 698-7420
Entity
Organization
Contact information
Practice address
420 E PATRICK ST, SUITE 200, FREDERICK, MD 21701-5658
(301) 682-7800
Mailing address
420 E PATRICK ST, SUITE 200, FREDERICK, MD 21701-5658
(301) 682-7800
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
D01537
MD
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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