Individual
NICHODEMUS ELEBEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
8859 BRANCH AVE, CLINTON, MD 20735-2632
(301) 868-4055
Mailing address
8859 BRANCH AVE, CLINTON, MD 20735-2632
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
16449
MD
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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