Individual
PETERPAUL IJEZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8950 COTTONGRASS ST, WALDORF, MD 20603-4952
(240) 271-0588
Mailing address
8950 COTTONGRASS ST, WALDORF, MD 20603-4952
(240) 271-0588
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16885
MD
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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