Individual
SERGE TIYONG IFOUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1520 ROCK SPRING RD, FOREST HILL, MD 21050-2815
(410) 836-5288
Mailing address
1100 LETCHWORTH CT, ABINGDON, MD 21009-1102
(443) 622-6597
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
183500000X
Pharmacist
25365
MD
Other
Enumeration date
10/25/2017
Last updated
10/25/2024
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