NPI 1003120932

Theophilus Anene Nduka

Practitioner Pharmacist Baltimore, MD

Practice location

Address: 7153 Security Blvd, Baltimore, MD 21244-1811
Phone: (410) 944-6400
Fax: (410) 944-2492

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 10733 (MD)

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Registry record

NPI: 1003120932
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2010
Record last updated: 3 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.