Organization
MYCROBIOTECH INC
Active
Other names
Sanare Bioscience
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK DONALDSON IV (PRESIDENT)
(954) 415-3116
Entity
Organization
Contact information
Practice address
3301 EASTERN AVE, BALTIMORE, MD 21224-4109
(877) 795-0103
(877) 578-6966
Mailing address
3301 EASTERN AVE, BALTIMORE, MD 21224-4109
(877) 795-0103
(877) 578-6966
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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