Organization
21ST CENTURY MEDICAL SUPPLIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER CHARLES BOYD (DIRECTOR MARKETING AND SALES)
(301) 807-7987
Entity
Organization
Contact information
Practice address
9701 APOLLO DR STE 100, LARGO, MD 20774-4785
(301) 807-7987
(301) 880-4700
Mailing address
9701 APOLLO DR STE 100, LARGO, MD 20774-4785
(301) 807-7987
(301) 880-4700
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
LA
Other
Enumeration date
09/18/2013
Last updated
07/21/2022
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