Provider Demographics
NPI:1396581138
Name:EMINENT SERVICES CORPORATION
Entity type:Organization
Organization Name:EMINENT SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANBU
Authorized Official - Middle Name:S
Authorized Official - Last Name:DEVASAHAYAM
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:240-629-1972
Mailing Address - Street 1:7495 NEW TECHNOLOGY WAY
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-9401
Mailing Address - Country:US
Mailing Address - Phone:240-629-1972
Mailing Address - Fax:
Practice Address - Street 1:7495 NEW TECHNOLOGY WAY
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-9401
Practice Address - Country:US
Practice Address - Phone:240-629-1972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy