Provider Demographics
NPI:1780153452
Name:KAMDEM, ANGELE PEDIE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ANGELE
Middle Name:PEDIE
Last Name:KAMDEM
Suffix:
Gender:F
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 1:5619 GOSHAWK CT
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601-4401
Mailing Address - Country:US
Mailing Address - Phone:240-478-4168
Mailing Address - Fax:
Practice Address - Street 1:10276 S MD BLVD
Practice Address - Street 2:
Practice Address - City:DUNKIRK
Practice Address - State:MD
Practice Address - Zip Code:20754-3028
Practice Address - Country:US
Practice Address - Phone:410-257-0392
Practice Address - Fax:410-257-0920
Is Sole Proprietor?:No
Enumeration Date:2018-11-24
Last Update Date:2018-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25299183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist