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1952710220
DEREK FOMBA
HYATTSVILLE, MD
NPI
1952710220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MD 19842)
Enumeration Date
2014-08-11
Last Update Date
2014-08-11
Business Address
Dr. DEREK FOMBA
7401 ANNAPOLIS RD
HYATTSVILLE, MD 20784-2313
Phone number: 301-577-7282
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Mailing Address
Dr. DEREK FOMBA
7401 ANNAPOLIS RD
HYATTSVILLE, MD 20784-2313
Phone number: 301-577-7282
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