Individual
AWELE IZAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
10101 RIVER RD, POTOMAC, MD 20854-4904
(240) 426-6521
Mailing address
9713 ELDWICK WAY, POTOMAC, MD 20854-2036
(240) 426-6521
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH2355
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH2355
PHARMACIST LICENSE
DC
Enumeration date
10/23/2011
Last updated
10/23/2011
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