Etebom, Felix F.
Etebom, Felix F. is an sole proprietor health care provider with primary practice located at 13202 Steeplechase Dr , Bowie MD 20715-4542. He recently has 5 registered licenses in different health care specialties including Pharmacy Service Providers / Nutrition Support, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Geriatric, Pharmacy Service Providers / Pharmacotherapy, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Etebom, Felix F. can be contacted via phone (301) 352-2514.Contact Information
Primary practice address
13202 Steeplechase Dr
Bowie MD 20715-4542
Phone: (301) 352-2514
Fax: (301) 805-0664
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Nutrition Support | 1835N1003X | 13780 | Maryland |
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 13780 | Maryland |
| Pharmacy Service Providers / Geriatric | 1835G0303X | 13780 | Maryland |
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 13780 | Maryland |
| Pharmacy Service Providers / Pharmacist | 183500000X | 13780 | Maryland |
Profile Details
| NPI number | 1376863183 |
|---|---|
| LBN Legal business name | Etebom, Felix F. |
| Credentials | BS BSPHARM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2010 |
| Last updated | Dec 8th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376863183 | NPPES |
| Other | CPN # 202-0014 | APHA-NATIONAL CERTIFICATE PROGRAM FOR PHARMACIST COMPREHENSIVE IMMUNIZATION . | |
| Other | PPSP LLC | APHA-NATIONAL CERTIFICATE PROGRAM FOR PHARMACIST COMPREHENSIVE IMMUNIZATION . | |
| Other | URL | APHA-NATIONAL CERTIFICATE PROGRAM FOR PHARMACIST COMPREHENSIVE IMMUNIZATION . |
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