Individual
MR. FELIX F. ETEBOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS BSPHARM
Contact information
Practice address
13202 STEEPLECHASE DR, BOWIE, MD 20715-4542
(301) 352-2514
(301) 805-0664
Mailing address
13202 STEEPLECHASE DR, BOWIE, MD 20715-4542
(301) 352-2514
(301) 805-0664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13780
MD
1835G0303X
Geriatric Pharmacist
13780
MD
1835N1003X
Nutrition Support Pharmacist
13780
MD
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
13780
MD
1835P1200X
Pharmacotherapy Pharmacist
13780
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPN # 202-0014
APHA-NATIONAL CERTIFICATE PROGRAM FOR PHARMACIST COMPREHENSIVE IMMUNIZATION .
—
01
—
PPSP LLC
PHARMACY & PHARMACEUTICAL SERVICES PROVIDER (PPSP)
—
01
—
URL
HTTP://WWW.PHARMACYPHARMACEUTICALSERVICES.COM
—
Enumeration date
06/03/2010
Last updated
12/08/2022
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