Healthcare Provider Details

I. General information

NPI: 1891031639
Provider Name (Legal Business Name): CHRISTINE WANJIRU NJOORA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2012
Last Update Date: 12/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 N BRIDGE ST
ELKTON MD
21921-5309
US

IV. Provider business mailing address

610 WINESAP CT
JOPPA MD
21085-5404
US

V. Phone/Fax

Practice location:
  • Phone: 410-398-4383
  • Fax: 410-620-1296
Mailing address:
  • Phone: 443-604-6268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number17736
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: