MEDICARE: ARMELLE AUDE TCHOUMKE NGASSA

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	26941	MD

General Provider Information

NPI Number	:	1770127169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARMELLE AUDE TCHOUMKE NGASSA

Provider Business Mailing Address
First Line	:	32979 COASTAL HWY
Second Line	:
City	:	BETHANY BEACH
State	:	DE
Zip	:	19930-3752
Country	:	US
Telephone Number	:	302-537-3700
Fax Number	:	302-537-3704

Provider Business Practice Location Address
First Line	:	32979 COASTAL HWY
Second Line	:
City	:	BETHANY BEACH
State	:	DE
Zip	:	19930-3752
Country	:	US
Telephone Number	:	302-537-3700
Fax Number	:	302-537-3704

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

Provider Enumeration Date	:	10/29/2019
Last Update Date	:	10/29/2019

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