Provider Demographics
NPI:1346017845
Name:AGUORU, CYNTHIA CHIZOBA (PHARMD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:CHIZOBA
Last Name:AGUORU
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 1:5043 LEASDALE RD
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-5010
Mailing Address - Country:US
Mailing Address - Phone:443-467-6965
Mailing Address - Fax:
Practice Address - Street 1:7643 ARUNDEL MILLS BLVD
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076
Practice Address - Country:US
Practice Address - Phone:410-904-7227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD29556183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist