Organization
SEQUON LLC
Active
Parent organization
SEQUON LLC
Other names
Altruix
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEQUON LLC
Authorized official
GREG GANSE (CHIEF EXECUTIVE OFFICER)
(717) 394-5671
Entity
Organization
Contact information
Practice address
1398 LAMBERTON DR STE 202, SILVER SPRING, MD 20902-3414
(301) 960-8003
(301) 960-3530
Mailing address
601 CHINQUAPIN ROUND RD, ANNAPOLIS, MD 21401-4009
(443) 837-0200
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PW0542
MARYLAND BOARD OF PHARMACY
MD
Enumeration date
11/07/2022
Last updated
09/30/2024
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