Provider Demographics
NPI:1700412038
Name:NJOGU, VICTOR GITUMA (PHARMACY TECHNICIAN)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:GITUMA
Last Name:NJOGU
Suffix:
Gender:M
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1527 28TH ST S APT 4
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-3235
Mailing Address - Country:US
Mailing Address - Phone:703-559-4903
Mailing Address - Fax:
Practice Address - Street 1:1527 28TH ST S APT 4
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-3235
Practice Address - Country:US
Practice Address - Phone:703-559-4903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-18
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT01129183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183700000XPharmacy Service ProvidersPharmacy TechnicianGroup - Single Specialty