Organization
CORETAIL MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD HASSAN (CEO)
(832) 568-8666
Entity
Organization
Contact information
Practice address
2445 HOLLY AVE APT 309, ANNAPOLIS, MD 21401-4082
(832) 155-3155
(313) 555-6666
Mailing address
2500 W MORELAND RD STE 1081, WILLOW GROVE, PA 19090-4024
(852) 553-5568
(648) 633-5588
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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