Provider Demographics
NPI:1417578824
Name:DRUMMOND, AMOS W (RPH)
Entity Type:Individual
Prefix:
First Name:AMOS
Middle Name:W
Last Name:DRUMMOND
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8290 QUILL POINT DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4390
Mailing Address - Country:US
Mailing Address - Phone:301-980-2662
Mailing Address - Fax:
Practice Address - Street 1:3139 LEBANON PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-2314
Practice Address - Country:US
Practice Address - Phone:615-622-2700
Practice Address - Fax:615-622-2702
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14501183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist