Individual
MUTED FOFUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4101 NORTHVIEW DR, BOWIE, MD 20716-2616
(301) 262-7733
(301) 262-7736
Mailing address
4101 NORTHVIEW DR, BOWIE, MD 20716-2616
(301) 262-7733
(301) 262-7736
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12244
MD
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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