Patrick Fonge is a Pharmacist based in Lithia Springs, MD. Patrick Fonge practices in Bowie, MD. The NPI Number for Patrick Fonge is 1780081372 and holds a License No. HHA10649 (Maryland).
The current practice location address for Patrick Fonge is 4203 Windflower Way, Bowie, MD and can be reached out via phone at 404-509-1243.
Location: 4203 Windflower Way, Bowie, MD, 30122-7816
Provider Profile Details
NPI Number
1780081372
Provider Name
Patrick Fonge
Credential
Provider Entity Type
Individual
Gender
Male
Address
4203 Windflower Way, Bowie, MD, 30122-7816
Phone Number
404-509-1243
Fax Number
Provider Enumeration Date
11/25/2014
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH033470 | 01 | GA | BOARD OF PHARMACY |
Provider Business Practice Location Address Details
Address
4203 Windflower Way
City
State
Zip
20720
Phone Number
404-509-1243
Fax Number
Provider Business Mailing Address Details
Address
4203 Windflower Way
City
State
Zip
20720
Phone Number
404-509-1243
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
License No.
RPH033470. (Georgia)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Provider's Taxonomy Details 2
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
HHA10649 (District of Columbia)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
License No.
HHA10649 (District of Columbia)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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