Individual
ELFREDA U EKWUNIFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45485 MIRAMAR WAY, CALIFORNIA, MD 20619-3191
(301) 737-0611
Mailing address
45485 MIRAMAR WAY, CALIFORNIA, MD 20619-3191
(301) 737-0611
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12268
MD
333600000X
Pharmacy
12268
MD
3336C0003X
Community/Retail Pharmacy
12268
MD
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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