Provider Demographics
NPI:1083502728
Name:TRUJILLO, JAVIER ENRIQUE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:ENRIQUE
Last Name:TRUJILLO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:453 CRISFIELD DR
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-2060
Mailing Address - Country:US
Mailing Address - Phone:787-221-8697
Mailing Address - Fax:
Practice Address - Street 1:3005 EMMORTON RD
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-2023
Practice Address - Country:US
Practice Address - Phone:410-569-9870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30359183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist