Individual
OBIESIEMIKE IJEABUONWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1219 BRENTWOOD RD NE, WASHINGTON, DC 20018-1019
(202) 450-3655
Mailing address
9307 HOBART ST, SPRINGDALE, MD 20774-5413
(202) 450-3655
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA3260
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA3260
PHARMACIST
DC
Enumeration date
06/15/2013
Last updated
06/15/2013
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