Provider Demographics
NPI:1760811517
Name:NGWA NFORBI, JOSEPH NORBERT (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOSEPH NORBERT
Middle Name:
Last Name:NGWA NFORBI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2767 CLAYBROOKE DR
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2053
Mailing Address - Country:US
Mailing Address - Phone:443-845-5259
Mailing Address - Fax:
Practice Address - Street 1:4401 HARFORD RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21214-3120
Practice Address - Country:US
Practice Address - Phone:410-319-8620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21756183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist