Individual
INNOCENT EGBUNINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1447 YORK RD, LUTHERVILLE, MD 21093-6017
(410) 339-5506
(410) 339-5650
Mailing address
4304 MORAVIA RD, BALTIMORE, MD 21206-6411
(410) 488-1610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12461
MD
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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