Healthcare Provider Details

I. General information

NPI: 1841550274
Provider Name (Legal Business Name): CHIDINMA CATHERINE OBASI P.PHARM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2012
Last Update Date: 05/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7953 CRAIN HWY S
GLEN BURNIE MD
21061-4934
US

IV. Provider business mailing address

5640 THELO GARTH
COLUMBIA MD
21045-2546
US

V. Phone/Fax

Practice location:
  • Phone: 410-969-3417
  • Fax:
Mailing address:
  • Phone: 443-413-6415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17083
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: