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Adesuwa Theresa Benedict

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

NPI number1801489554
StatusActive
Last updated in NPPESFeb 19, 2021

Details

NPI
1801489554
Entity type
Individual (NPI-1)
Name
Adesuwa Theresa Benedict
Sex
Female
Sole proprietor
No
Enumeration date
Feb 13, 2021
Certification date
Feb 19, 2021
Last updated
Feb 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist23009MDYes

Practice location

6 S Marlyn Ave
Essex, MD 21221-5021

Phone 410-918-0790

Mailing address

519 Whinstone Dr
Reisterstown, MD 21136-6251

Phone 516-662-9152

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