Provider Demographics
NPI:1124743414
Name:TWUMASI, DOMINIC (PHARMD)
Entity type:Individual
Prefix:
First Name:DOMINIC
Middle Name:
Last Name:TWUMASI
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 1:7523 AUGUSTINE WAY
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-4585
Mailing Address - Country:US
Mailing Address - Phone:240-586-2908
Mailing Address - Fax:
Practice Address - Street 1:14939 SHADY GROVE RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-7719
Practice Address - Country:US
Practice Address - Phone:301-944-1585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-10
Last Update Date:2023-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD28864183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist