Organization
ONIC MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY C. EJEMOLE (OPS MANAGER)
(240) 391-6509
Entity
Organization
Contact information
Practice address
9811 MALLARD DRIVE,, SUITE 117, LAUREL, MD 20708
(240) 391-6509
(240) 391-6515
Mailing address
9811 MALLARD DRIVE,, SUITE 117, LAUREL, MD 20708
(240) 391-6509
(240) 391-6515
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
R2672R
MD
Other
Enumeration date
01/05/2009
Last updated
07/24/2013
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