Provider Demographics
NPI:1376885913
Name:MADUH, EDWARD U (PHD, RPH)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:U
Last Name:MADUH
Suffix:
Gender:M
Credentials:PHD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3461
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20709-3461
Mailing Address - Country:US
Mailing Address - Phone:240-319-9709
Mailing Address - Fax:
Practice Address - Street 1:50 IRVING ST NW # 119
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20422-3461
Practice Address - Country:US
Practice Address - Phone:202-745-8233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD123601835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist