Dominic Aidoo, RPH

Individual provider Active NPI Pharmacist · Leonardtown, MD

NPI 1437460979 · NPPES record last updated Feb 10, 2020

Key facts

NPI
1437460979
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
18230 (MD)
Practice address
25805 Point Lookout Rd
Leonardtown, MD 20650-2038
Phone
(301) 481-9928
Fax
(240) 309-4151
NPI assigned
Jun 30, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cyreene Current
since Feb 16, 2020
Accepting new patients
Cyreene Current Accepting new patients

Locations

25805 Point Lookout Rd
Leonardtown, MD 20650
Phone (240) 309-4101

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18230 MD Yes

Addresses

Primary practice location

25805 Point Lookout Rd
Leonardtown, MD 20650-2038

Mailing address

43944 Swift Fox Dr
California, MD 20619-7136
Phone (301) 481-9928

Other providers in Leonardtown, MD

All providers in Leonardtown, MD · Pharmacist in Maryland

Sources for this page

Verify at the official NPI Registry.