Provider Demographics
NPI:1538619184
Name:YOCHEMBENG, NTUMBONG (PHARMD)
Entity type:Individual
Prefix:
First Name:NTUMBONG
Middle Name:
Last Name:YOCHEMBENG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 EMILY LN
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-7615
Mailing Address - Country:US
Mailing Address - Phone:443-536-5572
Mailing Address - Fax:
Practice Address - Street 1:1580 WESEL BLVD
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-2503
Practice Address - Country:US
Practice Address - Phone:301-739-7230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24243183500000X
VA0202215079183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist