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Organization

AVALON MARKETING INC

Active
Other names
Avalon Professional Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JASON CHIGOZIE MADUKA RPH (OWNER)
(301) 383-0142
Entity
Organization

Contact information

Practice address
12100 ANNAPOLIS ROAD UNIT 2, GLENN DALE, MD 20769
(301) 383-0142
(301) 383-0143
Mailing address
12100 ANNAPOLIS ROAD UNIT 2, GLENN DALE, MD 20769
(301) 383-0142
(301) 383-0143

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P05883
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
456105800
MD
Enumeration date
01/18/2013
Last updated
12/08/2025
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