Provider Demographics
NPI:1619116233
Name:TOURE, OUSMANE (RPH, PHD)
Entity Type:Individual
Prefix:DR
First Name:OUSMANE
Middle Name:
Last Name:TOURE
Suffix:
Gender:M
Credentials:RPH, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9233 STEWARTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-1459
Mailing Address - Country:US
Mailing Address - Phone:240-620-6123
Mailing Address - Fax:
Practice Address - Street 1:9233 STEWARTOWN RD
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-1459
Practice Address - Country:US
Practice Address - Phone:240-620-6123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302038482183500000X
MD18638183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist