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Individual

DR. GERARD ME-NSOPE MENGANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
22898 SUSSEX HWY, SEAFORD, DE 19973-5852
(302) 628-6100
(302) 628-6106
Mailing address
406 W LOCUST ST, UNIT 24F, SEAFORD, DE 19973-2300
(302) 536-1484
(302) 628-6108

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
19140
MD
183500000X
Pharmacist
Primary
A1-0003843
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19140
MARYLAND STATE BOARD OF PHARMACY
MD
01
A1-0003843
DELAWARE STATE BOARD OF PROFESSIONAL REGULATIONS/PHARMACY
DE
Enumeration date
06/05/2009
Last updated
06/05/2009
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