MEDICARE: ALEXANDRA NNADIKE

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
1	183500000X	Pharmacist	17376	MD

General Provider Information

NPI Number	:	1659634376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA NNADIKE

Provider Business Mailing Address
First Line	:	11421 KEDLESTON RD
Second Line	:
City	:	GLENN DALE
State	:	MD
Zip	:	20769-2021
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8036 RITCHIE HWY
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-1084
Country	:	US
Telephone Number	:	410-761-5441
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2012
Last Update Date	:	06/18/2012

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Directions to “ ALEXANDRA NNADIKE ” Practice Location

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