Individual
CHIDUBEM IFEJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-5594
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP458054
PA
1835P1200X
Pharmacotherapy Pharmacist
Primary
P458054
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2023
Last updated
03/31/2024
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