Organization
ULTIMA, LLC
Active
Other names
UltimaMedical
Organization subpart
No
Provider details
NPI number
Authorized official
K.C. GLEATON (MANAGER)
(973) 510-2100
Entity
Organization
Contact information
Practice address
10320 LITTLE PATUXENT PKWY STE 200, COLUMBIA, MD 21044-3344
(973) 510-2100
Mailing address
2851 JESSUP RD UNIT 932, JESSUP, MD 20794-7545
(973) 510-2100
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
11/21/2022
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