Healthcare Provider Details

I. General information

NPI: 1629399340
Provider Name (Legal Business Name): DAVID KARIUKI GACHIE RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2010
Last Update Date: 06/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1014 BEARDS HILL RD
ABERDEEN MD
21001-2230
US

IV. Provider business mailing address

1014 BEARDS HILL RD
ABERDEEN MD
21001-2230
US

V. Phone/Fax

Practice location:
  • Phone: 410-272-7000
  • Fax: 410-272-7527
Mailing address:
  • Phone: 410-272-7000
  • Fax: 410-272-7527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17905
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberA1-0003982
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number023591
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: