Provider Demographics
NPI:1750900205
Name:ROYAL MED SUPPLY
Entity type:Organization
Organization Name:ROYAL MED SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:OGBUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-553-7668
Mailing Address - Street 1:5010 SUNNYSIDE AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-2320
Mailing Address - Country:US
Mailing Address - Phone:240-553-7668
Mailing Address - Fax:240-553-7675
Practice Address - Street 1:5010 SUNNYSIDE AVE STE 102
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-2320
Practice Address - Country:US
Practice Address - Phone:240-553-7668
Practice Address - Fax:240-553-7675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-15
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies