MEDICARE: VICTOR GITUMA NJOGU PHARMACY TECHNICIAN

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
1	183700000X	Pharmacy Technician	PT01129	DC

General Provider Information

NPI Number	:	1700412038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTOR GITUMA NJOGU PHARMACY TECHNICIAN

Provider Business Mailing Address
First Line	:	1527 28TH ST S APT 4
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22206-3235
Country	:	US
Telephone Number	:	703-559-4903
Fax Number	:

Provider Business Practice Location Address
First Line	:	1527 28TH ST S APT 4
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22206-3235
Country	:	US
Telephone Number	:	703-559-4903
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2020
Last Update Date	:	03/18/2020

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