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NPI Code Detail

MEDICARE: MAXIMUS CHINEMERE NWOZUZU PHARMACIST

MEDICARE: MAXIMUS CHINEMERE NWOZUZU PHARMACIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0202218646VA

General Provider Information

NPI Number : 1285365627
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAXIMUS CHINEMERE NWOZUZU PHARMACIST
Provider Business Mailing Address
First Line : 1122 BLADENSBURG RD NE APT 602
Second Line :
City : WASHINGTON
State : DC
Zip : 20002-2696
Country : US
Telephone Number : 917-257-2434
Fax Number :
Provider Business Practice Location Address
First Line : 2820 COLUMBIA PIKE
Second Line :
City : ARLINGTON
State : VA
Zip : 22204-4412
Country : US
Telephone Number : 703-521-3143
Fax Number : 703-521-3280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2022
Last Update Date : 06/17/2022

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Directions to “ MAXIMUS CHINEMERE NWOZUZU PHARMACIST” Practice Location

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