Individual
KENNETH CHABEJAH TAJONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2043 MONDAWMIN MALL, BALTIMORE, MD 21215
(410) 523-6315
(410) 523-4796
Mailing address
212 CHARTLEY DR, REISTERSTOWN, MD 21136-2306
(410) 833-4046
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17396
MD
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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