Provider Demographics
NPI:1588035489
Name:NCHINDA FOBI, BARBRAKARYNE (PHARMD)
Entity Type:Individual
Prefix:
First Name:BARBRAKARYNE
Middle Name:
Last Name:NCHINDA FOBI
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 1:3416 BARRY PAUL RD APT T3
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-5082
Mailing Address - Country:US
Mailing Address - Phone:650-771-3779
Mailing Address - Fax:
Practice Address - Street 1:8302 LIBERTY RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21244-3124
Practice Address - Country:US
Practice Address - Phone:410-655-9890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-18
Last Update Date:2015-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23459183500000X
PARP450156183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist