Provider Demographics
NPI:1407469760
Name:NJUME, OSCAR NTOKO JR
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:NTOKO
Last Name:NJUME
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28221 PINE HAVEN WAY APT 153
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-0809
Mailing Address - Country:US
Mailing Address - Phone:678-206-1445
Mailing Address - Fax:
Practice Address - Street 1:1800 SAN MARCO RD
Practice Address - Street 2:
Practice Address - City:MARCO ISLAND
Practice Address - State:FL
Practice Address - Zip Code:34145-6721
Practice Address - Country:US
Practice Address - Phone:239-394-5303
Practice Address - Fax:239-394-5149
Is Sole Proprietor?:No
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS60173183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist