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Dr. Fabrice Djoukam, Rph

Pharmacist in Elkridge, MD. Individual provider (NPI-1).

NPI number1164036216
StatusActive
Last updated in NPPESSep 5, 2020

Details

NPI
1164036216
Entity type
Individual (NPI-1)
Name
Dr. Fabrice Djoukam
Credential
Rph
Sex
Male
Sole proprietor
No
Enumeration date
Sep 5, 2020
Certification date
Sep 5, 2020
Last updated
Sep 5, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist25401MDYes

Practice location

6480 Old Waterloo Rd
Elkridge, MD 21075-6508

Phone 410-799-0291

Mailing address

3574 Powder Mill Rd Apt 203
Beltsville, MD 20705-3525

Phone 240-381-7495

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