Provider Demographics
NPI:1902086515
Name:ABUNDANT SUPPLIES UNLIMITED INC
Entity Type:Organization
Organization Name:ABUNDANT SUPPLIES UNLIMITED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO- OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARIMA
Authorized Official - Middle Name:WALIDA
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-398-4154
Mailing Address - Street 1:2921 BROWN STATION RD
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-9268
Mailing Address - Country:US
Mailing Address - Phone:240-398-4154
Mailing Address - Fax:301-386-5529
Practice Address - Street 1:2921 BROWN STATION RD
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-9268
Practice Address - Country:US
Practice Address - Phone:240-398-4154
Practice Address - Fax:301-386-5529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-12
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies