Individual
DR. EMMANUEL A MBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5722 RITCHIE HWY, BROOKLYN PARK, MD 21225-3641
(410) 636-9779
(410) 636-9783
Mailing address
15300 RIDING PATH CT, LAUREL, MD 20707-5445
(240) 476-8421
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16705
MD
1835P2201X
Ambulatory Care Pharmacist
16705
MD
Other
Enumeration date
06/24/2018
Last updated
06/24/2018
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