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Organization

TRICARE MEDICAL &HEALTH SUPPLIES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GAIL EDWARDS ASUQUO (GENERAL MANAGER)
(301) 333-0564
Entity
Organization

Contact information

Practice address
505 HAMPTON PARK BLVD STE H, CAPITOL HEIGHTS, MD 20743-3862
(301) 333-0564
(301) 333-0562
Mailing address
505 HAMPTON PARK BLVD STE H, CAPITOL HEIGHTS, MD 20743-3862

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
04/24/2014
Last updated
09/15/2023
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