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Individual

DR. AUSTIN AYUK FORCHAP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1102 ANNAPOLIS RD, ODENTON, MD 21113-1602
(410) 674-8338
Mailing address
307 OAK MANOR DR APT 101, GLEN BURNIE, MD 21061-6707
(443) 929-8639

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27816
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47904624200
MD
Enumeration date
03/24/2021
Last updated
03/24/2021
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