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POTOMAC MEDICAL LLC NPI 1487794673


NPI Information

NPI: 1487794673
Provider Name: POTOMAC MEDICAL LLC

Doing Business As: ATLANTIC MEDICAL SUPPLY

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
420 E PATRICK ST
SUITE 200
FREDERICK, MD
ZIP 21701
Phone: (301) 682-7800
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POTOMAC MEDICAL LLC is a non pharmacy dispensing site in Frederick, MD. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) POTOMAC MEDICAL LLC NPI is 1487794673. The provider is registered as an organization entity type.
The provider Is Doing Business As Atlantic Medical Supply.

The provider's business location address is:

420 E PATRICK ST
SUITE 200
FREDERICK, MD
ZIP 21701-658
Phone: (301) 682-7800

The provider's authorized official is Eric James Burkholder .
The authorized official title is President and has the following contact phone number (301) 698-7420.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteD01537MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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