Individual
CHUKWUMA IBETOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10692 CAMPUS WAY S, UPPER MARLBORO, MD 20774-1307
(301) 336-2900
Mailing address
10692 CAMPUS WAY S, UPPER MARLBORO, MD 20774-1307
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17312
MD
183500000X
Pharmacist
PH100000934
DC
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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