Healthcare Provider Details

I. General information

NPI: 1811369259
Provider Name (Legal Business Name): SANDRA ONYE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2015
Last Update Date: 10/18/2024
Certification Date: 10/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 33100 BOX VICENZA
APO AE
09180-3100
US

IV. Provider business mailing address

110 HOSPITAL RD STE 100
PRINCE FREDERICK MD
20678-4039
US

V. Phone/Fax

Practice location:
  • Phone: 314-636-9661
  • Fax:
Mailing address:
  • Phone: 410-535-3838
  • Fax: 410-535-0236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number21409
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: