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Organization

SEQUON INC

Active
Other names
COLUMBIA MEDICAL PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
JOEL FELDMAN (PRESIDENT)
(410) 292-3730
Entity
Organization

Contact information

Practice address
5500 KNOLL NORTH DR, COLUMBIA, MD 21045-2370
(410) 964-1010
(410) 964-2002
Mailing address
PO BOX 453, STEVENSON, MD 21153-0453
(410) 964-1010
(410) 964-2002

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
P04164
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003273500
MD
01
2132188
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
09/13/2006
Last updated
04/18/2011
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