Organization
FREDERICK VILLA PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UCHE ETUNNUH (MEMBER)
(443) 415-6313
Entity
Organization
Contact information
Practice address
5411 OLD FREDERICK RD STE 12, BALTIMORE, MD 21229-2126
(443) 251-2718
Mailing address
5411 OLD FREDERICK RD STE 12, BALTIMORE, MD 21229-2126
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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