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NPI Code Detail

MEDICARE: EMMANUEL O EKEE PHARMACIST

MEDICARE: EMMANUEL O EKEE PHARMACIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist11754MD

General Provider Information

NPI Number : 1497025944
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMANUEL O EKEE PHARMACIST
Provider Business Mailing Address
First Line : 9605 LAKE POINTE CT APT 204
Second Line :
City : LARGO
State : MD
Zip : 20774-4706
Country : US
Telephone Number : 240-280-6903
Fax Number :
Provider Business Practice Location Address
First Line : 5741 SILVER HILL RD
Second Line :
City : DISTRICT HEIGHTS
State : MD
Zip : 20747-1102
Country : US
Telephone Number : 301-736-0904
Fax Number : 301-736-4828
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2011
Last Update Date : 12/30/2011

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Directions to “ EMMANUEL O EKEE PHARMACIST” Practice Location

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