Provider Demographics
NPI:1760083349
Name:KAWUMA, DANIEL BUSUULWA (PHARM D)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:BUSUULWA
Last Name:KAWUMA
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9854 SOLAR CRSE
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-5897
Mailing Address - Country:US
Mailing Address - Phone:651-278-6724
Mailing Address - Fax:
Practice Address - Street 1:8730 LIBERTY RD
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-4710
Practice Address - Country:US
Practice Address - Phone:443-576-3155
Practice Address - Fax:443-576-3150
Is Sole Proprietor?:No
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22817183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist