Individual
SHODO FUKUZAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
11710 OLD GEORGETOWN RD APT 1526, ROCKVILLE, MD 20852-8601
(202) 215-2936
Mailing address
11710 OLD GEORGETOWN RD APT 1526, ROCKVILLE, MD 20852-8601
(202) 215-2936
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10964
MD
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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