Provider Demographics
NPI:1326691619
Name:MUNENE, JOI HILDA WACHERA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOI HILDA
Middle Name:WACHERA
Last Name:MUNENE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 CHAMBERLAIN DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-3586
Mailing Address - Country:US
Mailing Address - Phone:301-804-7111
Mailing Address - Fax:
Practice Address - Street 1:360 HUNGERFORD DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-4167
Practice Address - Country:US
Practice Address - Phone:301-279-9144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-17
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH100000756183500000X
MD19507183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist