Healthcare Provider Details

I. General information

NPI: 1386681971
Provider Name (Legal Business Name): CATHERINE OGUNWUYI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

7514 OLD CHAPEL DR
BOWIE MD
20715-6010
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-2121
  • Fax:
Mailing address:
  • Phone: 301-674-0558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17476
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: