Healthcare Provider Details

I. General information

NPI: 1114759115
Provider Name (Legal Business Name): SUNDAY AKOJI PHARMACIST
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2024
Last Update Date: 08/19/2024
Certification Date: 08/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7845 WISE AVE
BALTIMORE MD
21222-3339
US

IV. Provider business mailing address

7845 WISE AVE
BALTIMORE MD
21222-3339
US

V. Phone/Fax

Practice location:
  • Phone: 410-285-1401
  • Fax:
Mailing address:
  • Phone: 410-285-1401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number29833
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1835N0905X
TaxonomyNuclear Pharmacist
License Number29833
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: