Provider Demographics
NPI:1568119535
Name:NJAKO, FRITZ JR (RPH)
Entity Type:Individual
Prefix:
First Name:FRITZ
Middle Name:
Last Name:NJAKO
Suffix:JR
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 1:4701 WILKENS AVE
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-3647
Mailing Address - Country:US
Mailing Address - Phone:443-297-3097
Mailing Address - Fax:
Practice Address - Street 1:4701 WILKENS AVE
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-3647
Practice Address - Country:US
Practice Address - Phone:443-297-3097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD28441183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist