Organization
1ST PHARMANEX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERONMWON YVONNE OKONJO R.N. (ADMINISTRATOR)
(202) 706-0780
Entity
Organization
Contact information
Practice address
4715 RIVER VALLEY WAY STE 100, BOWIE, MD 20720-3432
(202) 706-0780
Mailing address
4715 RIVER VALLEY WAY STE 100, BOWIE, MD 20720-3432
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
R2803
MD
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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