Cynthia Mbonu
Individual provider Active NPI Pharmacist · Elkton, MD
NPI 1003497900 · NPPES record last updated Apr 21, 2021
Key facts
- NPI
- 1003497900
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 11968 (MD)
- Practice address
- 1000 E Pulasky Hwy
Elkton, MD 21921 - Phone
- (410) 398-1070
- NPI assigned
- Apr 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11968 | MD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11968 | MD | Yes |
Addresses
Primary practice location
1000 E Pulasky Hwy
Elkton, MD 21921
Mailing address
10 Light St Unit 1114
Baltimore, MD 21202-1481
Phone (301) 222-3903
Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.