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Individual

DR. NINA LOMEDICO FERGUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D, RPH

Contact information

Practice address
15520 ANNAPOLIS RD, BOWIE, MD 20715-3002
(301) 809-3151
(844) 411-6292
Mailing address
15520 ANNAPOLIS RD, BOWIE, MD 20715-3002
(301) 809-3151
(844) 411-6292

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17180
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F622630541544
DRIVERS LICENCE
MD
Enumeration date
09/29/2020
Last updated
09/29/2020
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