Healthcare Provider Details

I. General information

NPI: 1891276606
Provider Name (Legal Business Name): CHRISTIAN OSEI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2018
Last Update Date: 08/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 UPPER ROCK CIR
ROCKVILLE MD
20850-4098
US

IV. Provider business mailing address

231 RED CLAY RD APT 202
LAUREL MD
20724-2302
US

V. Phone/Fax

Practice location:
  • Phone: 240-646-2409
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number25881
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: