Organization
PHARMACY & PHARMACEUTICAL SERVICES PROVIDER
Active
Other names
PPSP LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FELIX F ETEBOM BS BSPHARM (PRESIDENT,CEO & OWNER)
(301) 352-2514
Entity
Organization
Contact information
Practice address
13202 STEEPLECHASE DR, BOWIE, MD 20715-4542
(301) 352-2514
(301) 805-0664
Mailing address
13202 STEEPLECHASE DR, BOWIE, MD 20715-4542
(301) 352-2514
(301) 805-0664
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
13780
MD
174400000X
Specialist
13780
MD
1744R1102X
Research Study Specialist
13780
MD
174H00000X
Health Educator
13780
MD
183500000X
Pharmacist
13780
MD
1835G0303X
Geriatric Pharmacist
13780
MD
1835N1003X
Nutrition Support Pharmacist
13780
MD
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
13780
MD
1835P1200X
Pharmacotherapy Pharmacist
13780
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
URL
WWW.PHARMACYPHARMACEUTICALSERVICES.COM
—
Enumeration date
09/08/2014
Last updated
12/08/2022
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