Individual
DR. GEORGE E FONJUNGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPHARM, PHARMD, RPH
Contact information
Practice address
702 EDGEWOOD RD, EDGEWOOD, MD 21040-2400
(410) 671-9780
Mailing address
5512 AXTON CT, LANHAM, MD 20706-2050
(240) 274-4613
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202010285
VA
183500000X
Pharmacist
037720-1
NY
183500000X
Pharmacist
Primary
11344
MD
183500000X
Pharmacist
27894
TX
Other
Enumeration date
08/02/2014
Last updated
08/02/2014
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