Healthcare Provider Details

I. General information

NPI: 1568119535
Provider Name (Legal Business Name): FRITZ NJAKO JR. RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2022
Last Update Date: 03/09/2022
Certification Date: 03/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 WILKENS AVE
CATONSVILLE MD
21228-3647
US

IV. Provider business mailing address

4701 WILKENS AVE
CATONSVILLE MD
21228-3647
US

V. Phone/Fax

Practice location:
  • Phone: 443-297-3097
  • Fax:
Mailing address:
  • Phone: 443-297-3097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28441
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: